18 results
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
• Sickle Cell Anemia ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... #Orthopedics #Causes
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Hematologic • Anemia ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
: R/O cardiac, pulmonary ... musculoskeletal causes ... genitourinary causes ... Metabolic disease (e.g ... • Sickle cell anemia
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Iron deficiency anemia ... halt nail growth (e.g ... • Bacterial endocarditis ... Differential #Diagnosis #Algorithm ... #causes
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... therapy - Number one cause ... Eg: C. burnetii ... BloodCultures #Diagnosis #Management ... #Algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Leukocytosis, anemia ... #diagnosis #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... (e.g. facial trauma ... uses a small valve ... Delivery #Devices #management ... #pulmonary #criticalcare
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Cardiac Arrest Algorithm ... recommendation (eg ... intra-arterial Reversible Causes ... , Thrombosis, (pulmonary ... #AHA2020 #management
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Diagnosis and Management ... infections are caused ... immunosuppression (eg ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis