10 results
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Dissection Flap on POCUS ... Echocardiogram - PLAX ... presents with chest pain ... Diagnosis? ... #Cardiology #clinical
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Epigastric/chest pain ... , Sepsis Diagnosis ... Esophageal #Necrosis #black ... #esophagus #diagnosis ... #management #gastroenterology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest pain ... Dysrhythmia, heart block ... cardiac death Management ... #Management #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... Echocardiogram #ultrasound #Cardiology ... #PLAX #clinical
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
: Pain control, ... using hematoma block ... or ulnar nerve block ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... • ECG: Bad block ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
retrosternal chest pain ... Diagnosis: - EGD ... circumferential black ... retrosternal or back pain ... #management #gastroenterology
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Sensitivity to pain ... , Trigeminal neuralgia ... Multiple Sclerosis Diagnosis ... Plasma exchange (PLEX ... #management #neurology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... : Digital block ... #XRay #Diagnosis ... #Management #Hand
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain ... bundle branch block ... Fibrillation #AFib #diagnosis ... #management #cardiology