30 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Dysphagia, Epigastric/chest ... Klebsiella, pneumoniae) Management ... Esophageal #Necrosis #black ... esophagus #diagnosis #management ... #gastroenterology
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... movement Typical management ... to incr WOB + chest ... Serratus plane block
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... Dysrhythmia, heart block ... cardiac death Management ... Myocarditis #Diagnosis #Management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
epigastric/retrosternal chest ... circumferential black ... retrosternal or back ... Necrosis #diagnosis #management ... #gastroenterology
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Diagnosis and Management ... onset, "tearing" chest ... , radiation to back ... subclavian artery) Management ... Type B = medical management
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Diagnosis and Acute Management ... Pain: Chest, Back ... can be normal) Management ... Dissection #Diagnosis #Management
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... characteristically radiating to back ... hemorrhage Management ... diagnosis and management ... #Treatment #Gastroenterology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... telemetry for heart block ... • Aggressive management ... criticalcare #diagnosis #management
Inhaled Foreign Body Management

Abdominal thrusts using the Heimlich 
manoeuvre in older children to expel an inhaled
Inhaled Foreign Body Management ... In infants. back ... blows and chest ... #ForeignBody #Management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... /abd/back pain that ... Dissection #diagnosis #management