15 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
most support her diagnosis ... artery filling defect ... enlargement, McConnell sign ... , and paradoxical ... echocardiogram #a4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
m/s • Other signs ... vasoconstricting effect ... endothelin - Effect ... metabolism - Effect ... proliferation - Effect
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... Thrombus in transit ... 3 d later with normal ... LV and RV function ... Echocardiogram #A4C
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast Effect ... in Right Atrium ... Small secundum ASD ... Negative #Contrast #Effect ... echocardiogram #s4c
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
Differential Diagnosis ... thrombin inhibitors ... Supratherapeutic warfarin effect ... amyloidosis #Abnormal ... #differential #
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Causes of Abnormal ... thrombin inhibitors ... Supratherapeutic warfarin effect ... Prolonged #Causes #diagnosis ... #differential #
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
of Hemostasis - Differential ... Diagnosis Framework ... or Qualitative defect ... coagulation, or defects ... thrombin inhibitors
Mental Status Exam (MSE)
Note: The MSE is a "snapshot" of a patient at a specific time.
You
different than affect ... worried, happy • Affect ... Lability (TRAIL ... inappropriate mood, highly labile ... MSE #psychiatry #diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
/0.8)] - PaO2 Normal ... • Diffusion Defect ... Gradient #alveolar #arterial ... Hypoxia #hypoxemia #differential ... #diagnosis
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... levator to the tarsal ... due to the mass effect ... of some abnormal ... Ptosis #neurology #Differential