10 results
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Syncope in 3 Steps 1. ... , Stroke (TIA) 2. ... like Gl loss, shunting ... subclavian steal syndrome ... #differential #diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... muscle rupture, VSD ... • Obstructive: Pericardial ... Pulmonary embolism 2) ... #inopressors #diagnosis
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #Echocardiogram ... clinical #cardiology #pocus
Autoantibodies in Rheumatology
 • Lupus (SLE): ANA (anti-nuclear antibody), dsDNA (double-stranded DNA), Anti-Smith, Anti-Ro (SSA) and
Anti-Ro (SSA) and ... Myositis: Anti-JO-1, ... Others: SRP, Mi-2, ... #Rheumatology #diagnosis ... #associations #table
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... palpable purpura 2/ ... 2 vasculitis, ulcers ... o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
criteria: 1 ... apparent focus. ... pleural effusion, pericardial ... Severe dengue - SD ... classification #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... syndrome #1: Pulm ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
decompression SVC ... immediate treatment 1. ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... Oncology #HemeOnc #Diagnosis
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Ab • Anti-Jo-1 ... • ANA < 20 % IBM ... enzymes • Anti-Jo-1 ... • Pericarditis/Pericardial ... esophagus upper 2/