20 results
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint ... Sign on Abdominal ... • infection (e.g ... colitis) • bowel ischemia ... #Diagnosis #radiology
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... Chronic: ASCVD, ... Vasculitides 5% (PAN ... #Mesenteric #Ischemia ... #Schema #Differential
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... Pain Causes - Differential ... mesenteric ischemia ... • Mesenteric ischemia ... #Causes #Differential
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
Transient Myocardial Ischemia ... Chronic Volume ... Transient Myocardial Ischemia ... Cardiomyopathy • Pericardial ... #HeartFailure #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
CHF, Chest Pain ... Ischemia? ... Patients DIE: Drugs, Ischemia ... bradycardia #diagnosis #differential ... #management #cardiology
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Pain (<72 hours ... ) - Differential ... • Mesenteric ischemia ... Metabolic disease (e.g ... #Pain #Differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... -4 can have no pain ... Wong @mchlwng #Ischemia ... Interpretation #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left main ... predictor of recurrent ischemic ... atrial injury from pericardial ... #differential # ... cardiology
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... - Differential ... Hypothyroidism Chronic ... Infectious • Ischemic ... #Distention #Differential
Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Necrotizing Pancreatitis

Adult male with abdominal
Care Ultrasound (POCUS ... pain/hypotension ... Diagnosis/Differential ... Age dependent differential ... catastrophes (ischemic