154 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Nasopharyngeal PCR ... C-reactive protein (CRP ... clinically indicated (e.g ... echocardiogram, EKG ... iBookCC #COVID19 #algorithm
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... wave and short PR ... Syncope #Syndromes #ECG ... #EKG #Checklist
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
Causes of Splenomegaly ... Differential Diagnosis Algorithm ... • Thrombus (e.g ... Myeloproliferative disorders (eg ... Differential #Diagnosis #Algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... block 1º - long PR ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... in conduction causes ... prolonged PR and ... #Hyperkalemia #EKG ... #ECG #Changes #
Causes of Thrombocytopenia - Differential Diagnosis Algorithm
 
Decreased Megakaryopoiesis
 • Aplastic Anemia
 • Toxic Damage (e.g.
Causes of Thrombocytopenia ... Differential Diagnosis Algorithm ... Toxic Damage (e.g ... Displacement (e.g ... Foreign Surface (e.g
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... life-threatening causes ... Initial workup: • EKG ... ultrasound • CXR ... Pain #Diagnosis #Algorithm
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
a pulse check (ECG ... cardiacarrest #acls ... clinical #ultrasound #pocus
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... ) 39 yo M w CP ... Non-ischemic EKG ... , nl CXR. ... Clinical #Ultrasound #POCUS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... diffuse STE, diffuse PR ... #Ischemia #ECG ... #EKG #diagnosis