13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... Interpretation #differential
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
approximately how long ... (in days) it takes ... Index > 3: • Acute ... #differential # ... diagnosis #calculation
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #POCUS #clinical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... systemic complaints- anemia ... GCA #Temporal #Signs
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... Diagnosis Framework ... falls (like a wave ... Brucellosis Faget's Sign ... Brucellosis • Liver or lung
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... • Common clinical ... parenchymatous (tabes ... Symptoms: • Acute ... meningeal signs
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
the Journal of Clinical ... 500 mL in a 70 kg ... blood loss or acute ... pathophysiology #differential ... #diagnosis