67 results
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
Massive Pericardial Effusion ... Something out of a text ... Echocardiogram #POCUS ... #Clinical #S4C ... #Massive #Tamponade
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Pericardial • Effusion ... • Cardiac Tamponade ... • Sub-Valvular Disease ... Kyphoscoliosis • Abdominal
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... flare, Pleural effusion ... Tumor, Pleural effusion ... , Tamponade • Chronic ... #Differential #Diagnosis
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
→ Spectrum of Disease ... Ratio Step 1: Clinical ... with a focused clinical ... #ultrasound #management ... #diagnosis
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Pericardial #Effusion
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... and Management ... Abdominal pain; ... positive T. whipplei test ... #management #criteria
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... and Management ... Summary Clinical ... and a palpable abdominal ... initial test: abdominal
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
life Causes and clinical ... fatigue, Nausea, abdominal ... Disorientation, vertigo Diagnostic ... test, TempTest ... Cold #Urticaria #diagnosis
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... cause of renal disease ... • Renovascular disease ... ultrasound; MRA; abdominal ... #Differential #Diagnosis
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management