67 results
Causes of Orthopnea - Differential Diagnosis Framework

 • Fear and Anxiety
 • Pleural Effusion
 • Ascites
Causes of Orthopnea ... Diaphragmatic paralysis ... CNS lesion: ALS, MS ... Differential #Diagnosis #Causes
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
sleeping as in this case ... also called sleep paralysis ... #orthopedics #msk
Procalcitonin Guided Antibiotics in Sepsis

Efficacy and Safety of Procalcitonin Guidance in Patients With Suspected or Confirmed
Review and Meta-Analysis ... Nicholas Zimick, MD, MS ... VisualAbstract #EBM #Management
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Equina Syndrome Causes ... Weakness (flaccid paralysis ... CaudaEquina #Syndrome #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Bone/Joint Causes ... Hematoma Venous Causes ... Edema Arterial Causes ... Pallor-bruising 3) Paralysis ... lower #extremity #msk
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... the underlying cause ... Hypoxemia #Dyspnea #Management
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Examine for a cause ... #Hypotension #Management
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Nonrebreather Mask ... retention of exhaled gases ... Venturi Mask (venti-mask ... • Uses either ... Equipment #Devices #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... fracture • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Oral: • Pills (ask ... Intravenous (can cause ... Electrolyte #Repletion #management