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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... indicated (e.g. ... echocardiogram, ... EKG) Dr. ... iBookCC #COVID19 #algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table ... #Causes
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... • Alimentary (e.g ... : • Critical Illness ... (e.g. ... Hyperinsulinemic States (e.g
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Hyperglycemia - Differential ... Diagnosis Algorithm ... agonists • Others Critical ... Hyperglycemia (e.g ... endocrinology #causes
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... pathway that can cause ... Clinical Utility ... #cardiology #differential ... #echocardiogram
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm
Maternal Bradycardia:
Diagnosis Algorithm ... congenital heart block ... (e.g. ... Vagal stimulation (e.g ... Fetal cardiac conduction
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg ... #Differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... : Conduction abnormalities ... Treat underlying cause
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... Amyloidosis Clinical ... LVH, low-voltage EKG ... Cardiac Testing: • EKG ... • Echocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
but rather as a condition ... ECG is vital while ... the determined cause ... #diagnosis #differential ... #algorithm #management