Ravi Singh K @rav7ks
1.2M 757 370
Academic Hospitalist and Associate Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Hopkins Medicine Clerkship Site Director, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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Causes of Orthopnea - Differential Diagnosis Framework

 • Fear and Anxiety
 • Pleural Effusion
 • Ascites
• Ascites • COPD ... • Pulmonary Edema ... Noncardiogenic pulmonary edema ... Cardiogenic pulmonary edema ... Diaphragmatic pulmonary edema
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
CPPD vs Gout ... == CPPD == Think ... About CPPD When ... disease states Pathophysiology ... Asymptomatic CPPD
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema

Edema occurs when any of the following
Peripheral Edema ... Lower Extremity Edema ... Edema occurs ... Lower Extremity Edema ... #PhysicalExam #Pathophysiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary Edema ... Framework NCPE Pathophysiology ... Noncardiogenic pulmonary edema ... of peripheral edema ... altitude pulmonary edema
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Altitude Pulmonary Edema ... epilepticus • Pathophysiology ... : • Pathophysiology ... The predominant pathophysiologic ... • Pathophysiology
Peripheral Edema - Differential Diagnosis Framework - Unilateral vs Bilateral

The left iliac vein has to cross
Peripheral Edema ... systemic causes of edema ... #Peripheral #Edema
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
matter vasogenic edema ... Etiology: • Pathophysiology ... • Vasogenic edema ... • White matter edema ... matter vasogenic edema
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
filtration - Renal edema ... • Increases Edema ... volume - increased edema
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
and Hypoxia - Pathophysiology ... phosphorus is seen in COPD ... patients with COPD ... respiratory #hypoxia #pathophysiology
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
Framework for Facial Edema ... • Solid facial edema ... Facial #Swelling #Edema