35 results
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 ... antibodies #Diagnosis #EM
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... patients) stage 4 - ECG ... inverted #Diagnosis #EM ... IM #Cardiology #EKG
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
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
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Alternans on POCUS Echocardiogram ... You dissect the EKG ... - MH/CCF/CWRU EM ... Alternans #POCUS #Echocardiogram
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on ... POCUS Echocardiogram ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... pedal edema, and clear ... transthoracic echocardiogram ... to workup right-heart
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... on POCUS Echocardiogram ... with acute onset atrial ... Very clear regurgitant ... #AFib #POCUS #Echocardiogram
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