19 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Ventricular Pressure vs ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
vs. previously ... treated infection ... vs. very early ... infection. ... Algorithm #Testing #Diagnosis
Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary
Primary Syphilis
 • Localized lymphadenopathy
 •
Syphilis - Diagnosis ... Management - Primary vs ... Secondary vs Tertiary ... Negative treponemal tests ... Tabes dorsalis • Aortic
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... that may lead to infarction ... Paradoxical emboli via ASD ... Criteria • ↑ ESR ... block, annular or aortic
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... - Infective vs ... disease • Systemic infection ... amzn.to/2LmUODZ #Endocarditis ... #Differential #Diagnosis
Post Myocardial Infarction VSD on POCUS Echocardiogram

Older female with hx of severe GERD. Worsening over 8
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... Parenchyma: • Infection ... regurgitation, Tricuspid endocarditis ... AVM, Thoracic aortic ... Coagulopathy: DIC, vWD
Post Myocardial Infarction VSD on POCUS Echocardiogram (Color Doppler)

Older female with hx of severe GERD. Worsening
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax #color #doppler
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... Diagnosis = clinical ... = vasculitis vs ... infection vs malignancy ... the “Chewing gum test
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
it inflammatory vs ... Distribution - peripheral vs ... pattern (additive vs ... migratory vs intermittent ... • Bacterial endocarditis