32 results
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Chronic Myocardial Injury ... Shock, Hypoxemia, Anemia ... Toxins, Contusion/Trauma ... Elevated #Troponin #Differential
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain - Differential ... • Sickle Cell Anemia ... Infective Endocarditis ... Disruption • Trauma ... (Hemophilia or Trauma
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... • Fever • Anemia ... • Rupture • Endocarditis ... Rheumatic Fever • Trauma ... Murmurs #Cardiology #Differential
Clinical image showing neck seat belt sign (diagonal abrasions are present along the course of the
seat belt sign are ... carotid artery injury ... carotid artery injury ... #EM #Clinical #Trauma ... emergency #Neck #Photo
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Iron deficiency anemia ... • Bacterial endocarditis ... • Trauma Terry's ... renal failure • Uremia ... #dermatology #Differential
Schistocytes - The arrows point to schistocytes which are fragmented red blood cells. Also called schizocytes,
Schistocytes are ... In the right photo ... seen in hemolytic anemias ... microangiopathic hemolytic anemia ... is mechanical trauma
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... • Hemolytic Anemias ... - Pernicious anemia ... Demand ischemia • Trauma ... Dehydrogenase #Elevated #differential
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Melanoma Sarcoma Trauma ... perforation. chest trauma ... Blunt chest trauma ... pericarditis) Uremia ... #Pericarditis #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Blood cultures are ... Septic Emboli Cause Injury ... Marantic (NTBE) Differential ... Leukocytosis, anemia
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
• Mechanical Trauma ... Microangiopathic hemolytic anemia ... lactam antibiotics are ... Extravascular #Causes #differential ... diagnosis #hematology #anemia