8 results
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
. cardiac, pulmonary ... exams), and the chest ... one of 8 basic patterns ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... mass - Solitary Pulmonary ... Consolidation #Patterns
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Pneumothorax • Pulmonary ... : • EKG • Bedside
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... recent DAN) • EMG ... Goodpasture's cause ... leading to diffuse ... • IF staining patterns
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... (II, III, AVF)(pattern ... seen in 34% of cases
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... consolidation and GG pattern ... other processes Workup ... strep, HIV • CTD workup ... lymphoma, Diffuse
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Myocarditis: • Diffuse ... Early-repolarization pattern ... QRS complex Pulmonary ... leads • S1Q3T3 pattern
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

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RV
» HEMODYNAMIC PATTERNS ... → ↓ → →↑ Pulmonary ... CI/BVI Blood Flow ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg