21 results
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial ... Mobile #LA #TEE #Echocardiogram
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... obstruction: • Trial ... workup #diagnosis #nephrology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
symptoms and signs (e.g ... CNS infection (e.g ... arteritis • Acute angle ... Diagnosis #Algorithm #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... diagnosis #checklist #neurology
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 ... TPO, TTG, etc EMG ... Management #treatment #neurology
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
abnormalities (eg ... deficiency The classic triad ... diagnosis #criteria #neurology
Common Ulcers of the Ankles and Feet

Chronic Venous Insuffciency 
This condition usually appears over the medial
Ulcers of the Ankles ... appears over the medial ... Arterial Insuffciency ... areas of trauma (e.g ... diabetic neuropathy, neurologic
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
additional symptoms (eg ... - Duration - Partial ... Seizure #management #Neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
brainstem syndromes (e.g ... disturbances, facial ... AQP4-lgG disease; e.g ... Manifestations #diagnosis #neurology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... brain flow (VT/Vfib ... /Afib/WPW) • Loss