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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Problem Representation

An evolving summary of a patient’s clinical presentation that strives to identify 
(1) Clinical syndrome
pattern to maximize diagnostic ... Representation #diagnosis
Delirium Contributors - Differential Diagnosis Framework

Dr. Satya Patel @SatyaPatelMD

#Delirium #Differential #Diagnosis #Geriatrics #diagnosis #Encephalopathy
- Differential Diagnosis ... #Differential #Diagnosis ... #Geriatrics #diagnosis
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Simplified Differential Diagnosis ... #Differential #Diagnosis
Calculating a Reticulocyte Index (RI)
Reticulocyte Index = Absolute Reticulocyte Count / Maturation Correction
Absolute Reticulocyte Count =
RPI #hematology #diagnosis
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
Timeline #cardiology #diagnosis
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
#PhysicalExam #diagnosis
Labs and Symptoms in VIPoma

Dr. Satya Patel @SatyaPatelMD

#VIPoma #VIP #diagnosis #algorithm
#VIPoma #VIP #diagnosis
Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
#Chest #Pain #diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
LikelihoodRatios #LRs #diagnosis
Interpreting Kidney Biomarkers

↑ Creatinine: 
 • AKI, CKD
 • Medications that lead to nephroprotective ↓ in
Kidney #renal #diagnosis