19 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Sleep Deprivation (Eg ... Disorders • Neurologic ... Disorders (Eg. ... • Medications (Eg ... • Drug Abuse (Eg
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... • Excessive fatigue ... gallop • Abnormal ECG ... , echocardiogram
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
- Differential Diagnosis ... Algorithm Endocrine ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g ... #Algorithm #causes
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
: • CENTRAL: Fatigue ... Radiographic findings (eg ... Laboratory findings (eg ... VEP’s: EEG of visual ... stimulation Clinical
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... intrinsic factor, IF) Clinical ... slowing, neuropathy, fatigue ... organ ischemia (e.g ... e.g. leukemia
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
: • Based on clinical ... serologic, and EMG ... characteristic EMG ... - Improves clinical ... #management #neurology
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... LVH, low-voltage EKG ... • Severe fatigue ... Cardiac Testing: • EKG ... • Echocardiogram
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... not be subtle e.g ... . extreme fatigue ... E.g. 80 yo ESR cutoff
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... - Parasternal Short ... Diagnosis? ... getting 12 lead ECG ... ultrasound #Cardiology #clinical