Thread by @GallodeMoraesMD

On a mission to make physical examination in the ICU great again in 2023: do you worry when the knees of your ICU patient look like the image below? #PCCM #MedEd
nejm.org/doi/full/10.10…

Knee mottling should get ur attention, here is why: mottling score (0=no mottling, 1=coin size, 2=superior edge of the knee cap, 3=middle thigh, 4=groin fold and 5=anything higher than the groin fold) at 6 h was predictive of 14 day ICU mortality #MedEd
ccforum.biomedcentral.com/articles/10.11…

Mottling score was predictive of mortality regardless of vasopressor dose needed. It was also associated with lactate levels and low urinary output. #MedEd

Mottling score at 6H was also the strongest predictor of mortality in patients with liver #cirrhosis and sepsis
#MedEd #liverCriticalCare
sciencedirect.com/science/articl…

So let's make physical examination and going to bedside great again in 2023! #MedEd #PCCM