16 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign
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
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
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
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... B, hepatitis C infection ... without localizing signs ... Returning #Traveler #differential ... diagnosis #tropical #travel
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... and bacterial infections ... falls (like a wave ... Brucellosis Faget's Sign ... Fever #Patterns #Differential
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... flow, Kerley B-lines ... superimposed pulmonay infection ... Consolidation #Differential
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Denies any travel ... Lives in an old ... heaped up borders); differential ... Indiana University Infectious