28 results
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... Differential Bilat ... interstitial diffuse infections ... partially seen shred sign ... RJonesSonoEM #BLines
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm
Reactive:
 - Systemic Inflammatory
     •
Diagnosis Algorithm ... Pseudotumor - Infectious ... • Insect Bites ... History of Bleeding, Infection ... #Diagnosis #Algorithm
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... below isoelectric line ... Interpretation #differential
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Culture Collection Algorithm ... evidenced based algorithm ... Algorithm Source ... unstable vital signs ... indwelling catheters or lines
Hemolytic Anemias - Differential Diagnosis Algorithm

Signs of anemia and hemolysis:
 • ↓ Haptoglobin
 • ↑ LDH
Hemolytic Anemias - Differential ... Diagnosis Algorithm ... Signs of anemia ... Hypersplenism, Infection ... #Diagnosis #Algorithm
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 • Peripheral blood smear + DAT + further History
 •
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... HTN) • Recent travel ... Fevers, DAT (-) → Infection ... #Diagnosis #Algorithm
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... findings: Fluid wave ... LR 2.1) - fluid wave ... dullness, puddle sign ... incisional). 3) Signs
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... Additional tox/infectious ... Evidence of infection
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
Disease - Diagnosis Algorithm ... suspected: • Signs ... discernable cause • Signs ... microscopic colitis Differential ... NSAlDs, ARBs) • Infection