51 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound
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 ... #EKG #diagnosis ... #differential #
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... #pulmonary #differential ... #diagnosis #signs ... #Lung #POCUS #ultrasound
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... excludes other differentials ... ’s called Frog sign
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... • Diagnostic ... examination and vital signs ... #Management #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Diagnosis Baseline ... osmolarity If cause ... clinical context and signs ... #causes
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... Interpretation #differential
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... syncope (ruling out differential ... diagnoses), ruling ... orthostatic vital sign
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 ... tox/infectious workup ... #CriticalCare #Diagnosis
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound