11 results
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
Seen in states of stress ... disease/cirrhosis, CHF ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent Sign ... severe respiratory distress ... #clinical #video ... #physicalexam # ... respiratory #pulmonary
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Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... underlying cause (CHF ... Stress, Nausea, ... Pulmonary Diseases
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Acute Respiratory Distress ... Veno-Occlusive Disease #RHF ... #Diagnosis #Algorithm
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup ... Algorithm • ... Post-Coronarv): Stress ... Tachycardia-induced HF
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... : 33% • Treatment ... : Age>60, CKD, CHF ... of (Acute resp distress ... , and CXR with pulmonary
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
drastically elevates the stress ... with circulating stress ... hormones that work ... #diagnosis #differential ... #algorithm #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... to determine if stress ... Change in clinical ... thoracic surgery Stress ... , preoperative stress
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... with presence of pulmonary ... #diagnosis #differential ... #algorithm #management ... #heartfailure #chf
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... - Infectious workup ... mild-moderate respiratory distress ... monitoring (vital signs ... , clinical appearance