11 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... Non-ischemic EKG ... #Aortic #Aorta ... #Echocardiogram ... #PLAX #Clinical
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential ... inflammation (e.g ... Heart failure, Dissection ... #Schema #Differential ... #Diagnosis #algorithm
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
on POCUS Echocardiogram ... EKG: afib, twi I ... #Aorta #POCUS # ... Echocardiogram # ... Clinical #Ultrasound
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Diagnosis Algorithm ... Optic Neuritis • Ischemic ... Pharmacologic (e.g ... #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 ... EMERGENT: Vertebral dissection ... Ophthalmoplegic migraine, Ischemic ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... diagnostics as clinically ... echocardiogram, ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm ... Clinical Pearls ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Stroke - Differential ... Diagnosis Algorithm ... Atherosclerosis, Arterial Dissection ... - Ascending Aorta
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... - Differential ... Diagnostic Algorithm ... Infectious • Ischemic ... #Differential #
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... Diagnosis = clinical ... not be subtle e.g ... very remarkable w/differential ... required +/- prompt ophthalmology