14 results
D-Sign in a lady with Massive PE - The LV should always be round like a
D-Sign in a lady ... LV takes shape of ... Clinical #POCUS #Cardiac ... #Echocardiogram ... #PSAX #DSign #MassivePE
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 ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
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 ... #Workup #MICU #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... Differential Bilat ... partially seen shred sign ... POCUS #clinical #ultrasound
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
diffuse goiter (Graves ... antibodies (TRAb) if Graves ... Cardiac arrhythmia ... causes #diagnosis #differential ... endocrinology #signs
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... importantly, bedside ultrasound ... Cardiac cath if ... #diagnosis #differential ... heartfailure #chf #criticalcare
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... bacterial infection Cardinal ... without localizing signs ... Returning #Traveler #differential ... diagnosis #tropical #travel
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... Phos), CBC with differential ... monitoring (vital signs ... Checklist #Management #CriticalCare