12 results
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
HFrEF - Low Ejection ... Respirations - S3 ... Valsalva Response #HFrEF ... diagnosis #cardiology #CHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Ejection Fraction (HFrEF ... abdominojugular, reflux s3 ... *Chronic HFrEF may ... → no signs of CXR ... Jcortesizaguirr #HFrEF
Selected Clinical Trials of SGLT2 inhibitors in CVD and CKD
EMPA-REG OUTCOME - Empagliflozin lowered CV events
for SGLT2i in HF ... for SGLT2i in HF ... in HFrEF on GDMT ... outcomes in HFrEF ... SGLT2 #inhibitors #EBM
Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction

CONCLUSIONS:
Among patients with heart failure and a
Dapagliflozin #hfref ... #chf #visualabstract ... #ebm
Lung POCUS for Diagnosis of CHF - Visual Abstract
What is the accuracy of combined Lung Ultrasound
for Diagnosis of CHF ... 20.9 - LR- 0.07 CXR ... lung #ultrasound #CHF ... POCUS #diagnosis #ebm
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone #HFpEF ... #dCHF #Cardiology ... #EBM #VisualAbstract
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... diagnosed with CXR ... Diagnosis #Peds #EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
cervical, anal Cxs ... results *** MH/CCF ... /CWRU EM Res @MetroHealth_EM
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
1 Gy = ~10,000 CXRs ... lethal - MH/CCF ... /CWRU EM Res @MetroHealth_EM