59 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD/ACS ... • Pleura: - Effusion ... Pain #ChestPain #Differential
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
small pericardial effusion ... seen on an echocardiogram ... depression in I, II and aVL
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
Malignant pleural effusion ... Malignant pericardial effusion ... metastases Treatment ... dyspnea #algorithm #differential
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... failure - CAD/ACS ... • Pleura: - Effusion ... #dyspnea #sob #differential
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
for pericardial effusion ... shunt lesions) • Differentiate ... diagnosis #cardiology #echocardiogram
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Syndrome - Causes and Treatment ... hyperleukocytosis (AML ... Syndrome #Causes #Differential ... #Diagnosis #Treatment
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... flare, Pleural effusion ... Tumor, Pleural effusion ... Cardiovascular: • Acute: ACS ... Chronic #Causes #Differential
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... Pulmonary: pleural effusion ... diagnosis #management #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
of 150mL of 3% NaCl ... Check levels after infusion ... Restriction for all ... give specific treatment ... Management #algorithm #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... Triggers: ATRA treatment ... HoTN, edema and effusions ... initiation • Differential ... Renal Failure Treatment