18 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
complaining of chest ... pain ECG: non ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... evaluation - Chest ... X-ray - Lung ultrasound ... as clinically indicated ... (e.g. echocardiogram
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... #Management #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
further down) clinical ... voodoo of the highest ... #Diagnosis #Toxicology ... #Toxidromes #Comparison ... #Table #Anticholinergics
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison ... #Table #RadiologyAssistant
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
relying heavily on clinical ... give someone 500 mcg ... #Diagnosis #Myocardial ... Definition #NSTEMI #Comparison ... #Table
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... X-ray and lung ultrasound ... Intubation only if clinically ... Pyridostigmine - New diagnosis ... (vital signs, clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
myocardium by a much higher ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #management #clinical ... #criticalcare #foamed