M&M - Dr. King

Iliofemoral DVT
• Higher risk of PE, post-thrombotic syndrome
• If low risk for bleed with an acute clot, consider catheter directed thrombolysis
• Consult vascular surgery and consider transfer if at an outside community ED


Coarctation of the Aorta
• Physical exam findings include:
    - Signs of heart failure including respiratory distress, wet lungs, hepatomegaly
    - Diminished pulses of lower extremities 

• When seeing an infant in shock, THINK SEPSIS and remember your resuscitation pathways, but don't forget about the heart. 
    - Giving a dose of prostaglandin E will help you more often than hurt you 
        --http://pedemmorsels.com/dont-be-afraid-of-pge1/
    - Give fluids judiciously; give a bolus and reassess.  
• Bedside echo can help you in extremes of cardiac function, but otherwise murky.

---