10 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... chest/abd/back pain ... Examine for: • Pulse ... ED goal is to reduce ... #Dissection #diagnosis
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
shows only abduction ... The most common causes ... for retrobulbar optic ... the hospital, diagnosed ... clinical #video #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... Concussion Other Causes ... pain (with or without ... #ophthalmology ... #causes
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Traumatic Red Eye ... • Glaucoma • Optic ... #Traumatic #RedEye ... #Algorithm #Causes ... #Ophthalmology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tract, and often causes ... Arthralgias • Eye ... diminished, or tender pulses ... Eye -> retinopathy ... #rheumatology #
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Eyes • Iritis ... Rheumatic fever • Aortic ... Diminished peripheral pulses ... #differential #diagnosis ... #rheumatology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
patient was having pain ... unusually moist eyes ... last ½ hour • 2 - nausea ... Buprenorphine #Score #Diagnosis ... #Addiction #Nursing
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Arthralgias • Eye ... < 30 years • Aorta ... claudication, pulse ... tract, and often causes ... #Rheumatology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... claudication: pain ... chews, not just pain ... them, but urgent rheumatology ... required +/- prompt ophthalmology
Relapsing Polychondritis

What is it?
Recurrent inflammation of the cartilage in the body (Autoimmune disorder)

Who?
• Most frequently: 40
Sudden onset of pain ... Large vessels (aorta ... ) • Eyes • Inner ... Loss of vision • Aortic ... Polychondritis #rheumatology