28 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... rupture Initial workup ... : • EKG • Bedside ... , PT. aPTT • Serial ... Diagnosis #Algorithm #workup
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... Echocardiogram (A4C ... with acute onset atrial ... Very clear regurgitant ... Echocardiogram #A4C
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
can identify a clear ... , no extensive workup ... EtOH - Infectious workup ... blood cultures - ECG
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... risk actor for arterial ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... pedal edema, and clear ... echocardiogram to workup ... Echocardiogram #a4c
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... food diary and trial ... gap > 125mOsm/kg ... osmotic gap < 50mOsm/kg ... Chronic #Diarrhea #Workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... Ameliorate increased work ... oxygenation; remove work
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... obstruction: • Trial ... KidneyInjury #simplified #workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Insert central and arterial ... Check serial lactates ... to achieve mean arterial ... cultures if possible (eg ... Diagnosis #Management #Workup
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
- Stiffness in axial ... unit activity on EMG ... of diazepam • EMG ... antibody that works ... TPO, TTG, etc EMG