16 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... ED arrival MSK ... - Fractures, dislocations ... compartment syndrome ... #Diagnosis #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
, Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... Characteristic features ... #Causes #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... (+LR 2.6) - Cardiac ... - History - EKG ... #diagnosis #Algorithm ... #cardiology #Angina
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Low BMI < 18.5 kg ... overload -> - CHF ... Constipation - MSK ... #diagnosis #pathophysiology ... #symptoms #signs
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... ), compartment syndrome ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
WBC >100k, + lab signs ... unless worrisome EKG ... features) - ... with tetany or cardiac ... #TLS #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... point • De Winter syndrome ... #Equivalents #ECG ... #EKG #diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology