Dr. Satya Patel @SatyaPatelMD
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https://twitter.com/SatyaPatelMD | Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... Ratios Barrel Chest ... Hyperresonance of chest ... SatyaPatelMD #COPD ... LikelihoodRatios #LRs #diagnosis
Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Syndrome (ACS) Algorithm ... Syndrome #ACS #Algorithm ... #Chest #Pain #diagnosis
Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department

https://bit.ly/chestpainalgorithm

#ACS #ChestPain #algorithm
Algorithm for Evaluation ... Patients with Chest ... ACS #ChestPain #algorithm
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Evaluation Algorithm ... Algorithm that ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios
If goiter is present:
 • Cervical adenopathy -
+10.5 • Vocal cord ... +7.8 • Vocal cord ... Likelihood #LRs #diagnosis
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Simplified Differential Diagnosis ... Algorithm Exogenous ... #Differential #Diagnosis ... #Algorithm #endocrinology
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios
 - Asymmetric calf swelling, ≥2 cm
NS - Palpable cord ... #PhysicalExam #diagnosis
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Labs and Symptoms in VIPoma

Dr. Satya Patel @SatyaPatelMD

#VIPoma #VIP #diagnosis #algorithm
#VIPoma #VIP #diagnosis ... #algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
#Hyponatremia #algorithm ... #diagnosis #sodium