11 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
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... without localizing signs ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Returning #Traveler #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #differential # ... cardiology #electrocardiogram
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 ... (fever, leukocytosis
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 ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #ecg #ekg #electrocardiogram
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... Differential Bilat ... /lung sliding: Pulmonary ... interstitial diffuse infections ... partially seen shred sign
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... • Headache • Fever ... Acute meningeal signs ... (fever, nuchal
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... Skin exam for infection ... indicated • EKG ... Obtain EKG if: