10 results
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... Management Summary ... includes ascending aorta ... #Dissection #Diagnosis ... #Management #summary
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... the wall of the aorta ... with chest/abd/back ... #Dissection #diagnosis ... #management #vascular
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... Referred Pain: • Aorta ... : Dissection, Aneurysm ... #Diagnosis #causes
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... #ecg #ekg #electrocardiogram
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
duodenum Clinical Signs ... • Should be on differential ... de novo between aorta ... or within the aorta ... #Management #Summary
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Diagnosis Approach ... non-obese, non-black ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs ... #Management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 • Obturator - inserted into
Emergencies - OnePager Summary ... Call for help (e.g ... Surgical management ... #Emergencies #diagnosis ... #differential #
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
, selenium) Differential ... coronary artery dissection ... heart failure • Aortic ... dissection • Other ... recognition and management