51 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS (PLAX ... Non-ischemic EKG ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... #PLAX #Clinical
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 ... , EKG) Dr. ... COVID19 #algorithm #schema
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Optic Neuritis • Ischemic ... Pharmacologic (e.g ... Midbrain (Parinaud's Syndrome ... Algorithm #Causes #Ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... , Orbital apex syndrome ... Ophthalmoplegic migraine, Ischemic ... #differential #diagnosis ... #ophthalmology
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
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... Demyelinating Syndrome ... that will cause ischemia ... permeability Diagnosis ... Lumbar Puncture, EEG
Problem Representation

An evolving summary of a patient’s clinical presentation that strives to identify 
(1) Clinical syndrome
of a patient’s clinical ... identify (1) Clinical ... syndrome (signs ... /symptoms), (2) ... Assessment and Plan
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... • Ophthalmologic ... #Symptoms #spectrum ... #signs #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... changes, stroke symptoms ... AKI, acute limb ischemia ... unless worrisome EKG ... #TLS #diagnosis
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