32 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... block (lower AV cells ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... cell count - C-reactive ... clinically indicated (e.g ... . echocardiogram ... , EKG) Dr.
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... : • EKG • Bedside ... score • PERC; Well ... MatthewHoMD #Chest #Pain ... #Diagnosis #Algorithm
Hodgkin's Lymphoma vs Non-Hodgkin's Lymphoma - Comparison

Hodgkin's Lymphoma:
 • Epidemiology: young adults 20-30, older 50-70
 •
Immunosuppression (e.g ... Alcohol-induced pain ... : Pain in involved ... Autoimmune diseases (e.g ... Malignancies (eg
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... . small cell carcinoma ... CNS pathology (e.g ... Pulmonary pathology (e.g ... SSRIs) Severe pain
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential ... Occlusion • Sickle Cell ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest pain ... gallop • Abnormal ECG ... , echocardiogram ... • IVIG (Giant cell
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Acute Abdominal Pain ... (<72 hours) - Differential ... Diagnostic Algorithm ... Metabolic disease (e.g ... Ketoacidosis) • Sickle cell
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