9 results
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... with tetany or cardiac ... Syndrome #TLS #diagnosis ... #management #hematology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework ... Symptom | Diagnosis ... Other - ALS, Dementia ... disorder → EGD Treatment ... #Diagnosis #Management
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Recurrent anginal chest ... troponin elevation Diagnosis ... tests in cath lab Treatment ... #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
BNP, Troponin), ABG ... , STAT CXR, CTA ... Chest, Echocardiogram ... #Management #treatment ... #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... • <12mo since ACS ... stratification #diagnosis
HEART Score – A Tool For the ED The HEART score is an excellent tool that
Coronary Syndrome (ACS ... further workup and treatment ... Major Adverse Cardiac ... heart-score-major-cardiac-events ... #Diagnosis #Management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Bulbar- 15%: Dysphagia ... Generalized fatigue - ALS ... myasthenia Diagnosis ... Imaging - CT Chest ... #management #neurology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... of Achalasia - ACG ... with progressive dysphagia ... liquids, heart burn, chest ... #Management #ACG
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... → no signs of CXR ... Consider cardiac ... Pharmacology: • ACE ... #management #cardiology