20 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... clinically indicated (e.g ... . echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... A4c #clinical #cardiology
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Extrinsic compression (e.g ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g ... Hypoxemia #Hypoxia #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Pain • ECG: Bad ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 • Use gentle soap e.g. Dove
Pruritus Treatment ... Use gentle soap e.g ... except if other areas ... after bathing, e.g ... Uremic #Uremia #Management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... Pulse deficit/differential ... deficit • Shock Treatment ... blood pressure: e.g ... Dissection #diagnosis #management