ECREM
@ECREM_UAE
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Emirates Collaboration of Residents in Emergency Medicine. An academic initiative from residents for residents. Home of ECREM|talks.
United Arab Emirates
Joined November 2020
β¨ Ramadan Kareem from ECREM UAE! πβ¨ As we welcome this blessed month of reflection, compassion, and togetherness, let's embrace the spirit of giving, healing, and hope. π May this Ramadan bring you peace, prosperity, and countless blessings. #RamadanKareem #ECREMUAE
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Other relative contraindications to thrombolytic therapy include advanced age, internal non-intracranial bleeding in the past few weeks, thrombocytopenia, dementia, elevated blood pressure, and current use of anticoagulant.
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...recent ischemic stroke, head injury with bony fracture, and active bleeding diathesis (e.g. hemophilia). Menstruation is not considered an active bleed and thrombolytic therapy during ongoing menses has not generally been associated with significant adverse effects.
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Besides hypersensitivity reactions, fibrinolytic agents predispose patients to bleeding. Therefore, absolute contraindications to thrombolysis include a history of intracranial hemorrhage, diagnosed structural cerebrovascular disease (e.g. AVM) or malignant CNS neoplasms, cntd.
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Thrombolysis is indicated in cases of hemodynamically unstable pulmonary embolism (massive PE) and is considered in selected cases of high-risk sub-massive PE. These agents convert plasminogen to plasmin, which is fibrinolytic and helps dissolve clots.
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Dose of wisdom in every bite! π ECREMBites: Emergency Medicine info served bite-sized. Stay informed, save lives! ππ #ECREMBites #EmergencyMedicine #MedEdBytes
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Dose of wisdom in every bite! π ECREMBites: Emergency Medicine info served bite-sized. Stay informed, save lives! ππ #ECREMBites #EmergencyMedicine #MedEdBytes
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Which of the following is NOT a contraindication to thrombolysis in PE?
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A bedside ultrasound revealed a target sign at McBurney's point in the short-axis view and a blind-ended tube with wall thickening and surrounding fluids in the long-axis view, consistent with a diagnosis of acute appendicitis.
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π¦΄September Clinical Image A 37-year-old male presented with right lower quadrant pain and diarrhea. Upon examination, he exhibited a positive McBurney's sign and rebound tenderness.
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Dose of wisdom in every bite! π ECREMBites: Emergency Medicine info served bite-sized. Stay informed, save lives! ππ #ECREMBites #EmergencyMedicine #MedEdBytes
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However, despite the fact that ECG changes may not always be predictable, raised P waves have seldom, if ever, been associated with hyperkalemia. They are typically a sign of right atrial enlargement in patients with pulmonary hypertension.
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βNormalβ ECGs have been reported in literature even with significantly raised potassium levels, and other atypical findings have also been encountered, including T wave inversions.
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