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

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... -19 Initial evaluation ... Nasopharyngeal PCR ... - CBC with differential ... #algorithm #schema
Algorithm and Causes of an Elevated Hemidiaphragm #Diagnosis #Radiology #EM #IM #PCC #Elevated #Hemidiaphragm #ElevatedHemidiaphragm #Diaphragm
Algorithm and Causes ... Hemidiaphragm #Diagnosis ... #Radiology #EM ... #IM #PCC #Elevated ... ElevatedHemidiaphragm #Diaphragm #Differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
C. difficile PCR ... Norovirus PCR (Stool ... consider multiplex PCR ... #Transplant #diagnosis ... #differential
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
used in initial evaluation ... emergent primary PCI ... NOT Validated) #Diagnosis ... #Cardiology #ModifiedSgarbossa ... #Algorithm #RebelEM
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - ... Differential Diagnosis ... disease, >7 days 2) PCR ... #Differential # ... NonInfectious #Algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Clinical Evaluation ... 20% • GI: N/V, diarrhea ... incr in 27-75% • PCT ... #Evaluation #Guide ... #Diagnosis #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... revascularization (PCI ... syndrome (ACS) evaluation ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
toxo IgG • CNS PCR ... Syphilis • Pyogenic Abscess ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
hemorrhage • CSF PCR ... Toxoplasma gondii PCR ... tuberculomas, or abscesses ... • JC-virus PCR ... Enhancement • PCR
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... have had prior evaluations ... • Vomiting, diarrhea ... dysfunction • PSC ... • Splenomegaly/Abscess