41 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... tissue disorder e.g ... deficit/differential ... blood pressure: e.g ... #Dissection #diagnosis
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... dissection • ... regurgitation ... #causes
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... Pain: Chest, Back ... High or low BP, Pulse ... Surgeon. 1) Control Pain ... #Dissection #Diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... dissection • ... Initial workup: • EKG
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest pain ... x-ray and and ECG ... In this case, the ... regurgitation and ... dissection.- Michael
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Acute Abdominal Pain ... (<72 hours) - Differential ... Diagnostic Algorithm ... Ruptured abdominal aortic ... Metabolic disease (e.g
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... spondyloarthritis (e.g ... spondyloarthritis (e.g ... : • Aorta: Dissection ... Diagnosis #causes
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... dissection, PE, ... #Ischemia #ECG ... #EKG #diagnosis
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
draw • Severe pain ... Mechanical • Aortic ... Medication side effect (e.g ... Medication side effect (e.g ... #Table #Causes
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... syncope (ruling out differential ... further guide management ... orthostatic vital sign ... and an initial ECG