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

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... as clinically indicated ... (e.g. echocardiogram ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Optic Neuritis • Ischemic ... Pharmacologic (e.g ... #Ophthalmology
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... Clinical manifestations ... GiantCellArteritis #GCA #Rheumatology ... #Ophthalmology ... #Diagnosis #Algorithm
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... that will cause ischemia ... permeability Diagnosis ... Lumbar Puncture, EEG ... CNS #neurology #rheumatology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... #PLAX #Clinical
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... Migraine is a diagnosis ... #Algorithm #Causes ... #Ophthalmology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... Hypercoagulable #Workup #hematology ... #diagnosis #algorithm ... #hematology #VTE
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cryoglobulin (CG ... Cryofibrinogenemia Clinical ... limb and bowel ischemia ... : • + Clinical ... #rheumatology #
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... Behcet syndrome (Clinical ... retinal tears, Ischemia ... inhibitors • Uveitis- Ophthalmology ... signs #symptoms #rheumatology
Cryoglobulinemia Summary

Cryoglobulins:
 • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
Syndrome: • Clinical ... - (Ischemia, ... Labs/Diagnosis: ... tissue disorder (e.g ... classification #rheumatology