19 results
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Primary Amenorrhea Differential ... Workup: • β-HCG ... LH • Pelvic Ultrasound ... Diagnosis #pediatrics #obgyn ... #gynecology #algorithm
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Metoprolol - VCU Ultrasound ... #HCM #clinical ... #echocardiogram ... #plax #cardiology
Causes of Early (<20 Weeks) and Late Bleeding in Pregnancy  - Differential Diagnosis Algorithm
Early Bleeding
Causes of Early ... Diagnosis Algorithm ... Transvaginal U/S • ß-hCG ... doubled in 72h • ß-hCG ... #OBGyn
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
LVOTO due to SAM ... on POCUS Echocardiogram ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #PLAX #clinical
PLAX. Bit Las Vegas gains posteriorly 😉 lovely HOCM case with systolic anterior motion. Significant LVOT
case with systolic ... Cardiomyopathy #SAM ... #Clinical #POCUS ... #Echocardiogram ... #PLAX #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... Sinus Syndrome (SA ... #Differential # ... #causes
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Pregnancy on Pelvic Ultrasound ... UCG pos. ... Diagnosis/differential ... Pelvis Sag See thread ... #clinical #OBGyn
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Diagnosis Algorithm ... Cell Tumor • HCG ... #Diagnosis #Algorithm ... #causes #endocrinology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... - CBC with differential ... diagnostics as clinically ... echocardiogram, ... iBookCC #COVID19 #algorithm
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Thickening on Echocardiogram ... - Differential ... HOCM Case 4: Hydatid ... #clinical #a4c ... #Diagnosis #cardiology