12 results
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acidosis: - CNS ... sedation, narcotics, CVA ... or restrictive lung ... #VBG #differential
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
CNS Ring-Enhancing ... lesions • 80% with lung ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
with inspiration as ... blood from vena cava ... #physicalexam # ... diagnosis #cardiology ... causes
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Bronchiectasis is defined as localized bronchial dilatation.
The diagnosis of bronchiectasis is usually based on a combination
Bronchiectasis is defined as ... the peripheral lung ... The most common cause ... #Diagnosis #Radiology ... Bronchiectasis #Differential
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... which rules out CV ... Kussmaul's sign ... PHTN #JVP #Neck #PhysicalExam ... Clinical #Video #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of congestion ... the determined cause ... #diagnosis #differential ... algorithm #management #cardiology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... systemic sx + signs ... very remarkable w/differential ... Start steroids if ... GCA #Temporal #Signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... consciousness Differential ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose