Critical info, for critical care
Well what do you know? Seems there might be some association between haemodialysis patients getting high serum manganese levels and imaging changes in the brain on T1-weighted MRI A Preliminary Study Revealing a New Association in Patients Undergoing Maintenance Hemodialysis: Manganism Symptoms and T1 Hyperintense Changes in the Basal Ganglia | American Journal of Neuroradiology
Fascinating paper by U-King-Im et al about the changes in the brain observed in hyperammonaemic encephalopathy during MRI. Acute Hyperammonemic Encephalopathy in Adults: Imaging Findings | American Journal of Neuroradiology
Estimate risk and severity in gastrointestinal bleeding to support triage and management decisions.
The approach is graphically summarised here. It’s based on Alex Yartsev‘s awe-inspiring Deranged Physiology post, as well as Cohen et al (2016), Lundy & Fischer (2010) and Evenson (2016). The final decision-loop ignores the third possibility, which is that the patient is stable enough to go on living with a chronically-discharging ECF. I had to draw the line … Read more
Opening statement: This is an immediately life-threatening condition where assessment and resuscitation occur simultaneously. Massive haematemesis is usually related to portal hypertension and oesophageal varices. Assessment History Examination Investigations Management Resuscitation Specific treatment Ongoing monitoring Supportive treatment