12 results
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound ... for Diagnosing Pneumonia ... through 6 zones (3 per ... #Peds #EM #PICU ... Technique #Zones #ALiEM
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... Chest X-ray - Lung ... Nasopharyngeal PCR ... - CBC with differential ... echocardiogram, EKG
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
AV block 1º - long ... 3, etc.) 2º - Mobitz ... II / Mobitz - , ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
wave and short PR ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain - Differential ... Diagnosis Algorithm ... . fractured long ... Vascular #JointPain #MSK ... #Differential #
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Clindamycin in case of PCN ... Abscess Differential ... Vasculitis (e.g. ... Abscess #pulmonary #differential
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Intervals - PR ... Short QT <300-360 ms ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... granulomas within the lungs ... at the time of diagnosis ... (e.g. incidental ... anterior/posterior MSK
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... very remarkable w/differential ... diagnosis = vasculitis ... Prednisone 60 mg per ... day, followed by long
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... stratification #diagnosis