9 results
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... that helpful, but comparison ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
external factors • Median ... Positive Carnett's sign ... incisional hernias: clinical ... Radicular pain - History ... #Pain #differential
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... • Common clinical ... photophobia, nausea, - History ... Acute meningeal signs ... rigidity) • Altered mental
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... Diagnoses Medical ... History: • Skin ... without localizing signs ... infection • Abdominal
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... Signs of congestion ... with presence of pulmonary ... #diagnosis #differential ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Take a thorough history ... Medical history ... disease b) CHF ... Change in clinical ... undergoing AAA or upper abdominal
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... primary condition MEDIUM ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
massiliense in CF ... History of immunosuppressive ... enzymes, diarrhea, abdominal ... Disease: Clinical ... NTM #Infections #differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal