20 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... #diagnosis #checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Hyperthermia #Differential ... #Management #Workup
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... rises. ... getting 12 lead ECG ... #Fibrillation #VFib
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... rises. ... getting 12 lead ECG ... #Fibrillation #VFib
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis ... Phos), CBC with differential ... - Infectious workup ... Pyridostigmine - New diagnosis ... oral secretions (e.g
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... • History of BCG ... infection • Recent viral ... immunocompromised (e.g ... #Workup #TB #Latent
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
joint trauma (e.g ... derangements (e.g ... rheumatology #approach #workup ... #differential # ... diagnosis #arthritis