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

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... as clinically indicated ... (e.g. echocardiogram ... COVID19 #algorithm #schema
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 ... #Ultrasound #POCUS
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... Definition: acute ischemic ... Clinical manifestations ... #Rheumatology #Ophthalmology ... #Diagnosis #Algorithm
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... • Neurologic symptoms ... Migraine is a diagnosis ... Algorithm #Causes #Ophthalmology
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings

Ophthalmic Artery Hypertension
Stage 1: Mild/vasoconstrictive
 • Acute and chronic vasospasm
Pathogenesis and clinical ... causes fluffy white ischemic ... pathophysiology #ophthalmology ... #diagnosis #signs ... #symptoms #complications
Central Retinal Artery Occlusion: Pathogenesis and clinical findings
 • Inflammatory Disease: (i.e. GCA, SLE, GPA) ->
Pathogenesis and clinical ... edema caused by ischemia ... pathophysiology #ophthalmology ... #diagnosis #signs ... #symptoms
Differentiating type-I vs. type-II MI

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

A key
relying heavily on clinical ... of myocardial ischemia ... give someone 500 mcg ... If the same symptoms ... #Diagnosis #Myocardial
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... Mobile #LA #TEE #Echocardiogram ... Transesophageal #Ultrasound ... #Cardiology #Clinical
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... hypoxia and organ ischemia ... to manifest its symptoms ... , alcohol use, symptoms ... consider other diagnosis
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... meningitis), MCC CNS symptoms ... Behcet syndrome (Clinical ... retinal tears, Ischemia ... inhibitors • Uveitis- Ophthalmology