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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Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
ACS Evaluation Algorithm ... Algorithm that ... taking (guided by LRs ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Central obesity LR ... Thin skinfold LR ... 115.6 Plethora LR ... Likelihood #Ratios #LRs ... #PhysicalExam #diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Barrel Chest - LR ... Lip Breathing - LR ... breath sounds - LR ... LikelihoodRatios #LRs ... #diagnosis #pulmonary
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios
If goiter is present:
 • Cervical adenopathy -
Cervical adenopathy - LR ... cord paralysis - LR ... cord paralysis - LR ... PhysicalExam #Likelihood #LRs ... #diagnosis
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios
 - Asymmetric calf swelling, ≥2 cm
cm difference - LR ... venous dilation - LR ... of entire leg - LR ... skin warmth - LR ... #PhysicalExam #diagnosis
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
or inspection - LR ... normal position - LR ... #PhysicalExam #diagnosis ... #LR #Likelihood
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Simplified Differential Diagnosis ... Algorithm Exogenous ... #Differential #Diagnosis ... #Algorithm #endocrinology
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
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department

https://bit.ly/chestpainalgorithm

#ACS #ChestPain #algorithm
Algorithm for Evaluation ... ACS #ChestPain #algorithm