Yearly Archives: 2020

CVA – ED

Cerebrovascular Accident (CVA) Ischemic – thrombotic vs embolic, vasculitis, connective tissue disease, IVDU Hemorrhagic – intracerebral / SAH (majority of trauma) – 90% internal capsule, AVM (h/a and Sz if unruptured & coma/ICB if ruptured), mycotic (septic embolus) Epidural hematoma

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Seizures – ED

Seizures 1. Consider the possibility of a seizure in the differential diagnosis for a patient with an atypical presentation but without witnessed frank seizure movements (e.g., confused or altered level of consciousness, incontinence, fall/injury/accident, tics in children). Classifications Generalized tonic-clonic

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Eye: Red Eye/Loss of Vision – ED

Eye: Red Eye/Loss of Vision 1. In patients with red eye, do not make a diagnosis of conjunctivitis without having first ruled out more serious possibilities (e.g., glaucoma, iritis, keratitis, foreign body). Red Eye ddx: conjunctivitis, iritis, keratitis, acute glaucoma

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DVT / PE – ED

Deep Venous Thrombosis (DVT)/Pulmonary Embolus (PE) 1. In a patient whom you suspect may have a DVT/PE, include the specific elements in the history that will permit an accurate assessment of the patient’s baseline risk of the illness. History: dyspnea

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Ischemic Heart Disease – ED

Ischemic Heart Disease 1. Given a patient with potential acute coronary syndrome (ACS), initiate diagnostic testing without delay and plan ongoing testing until diagnostic resolution (e.g., early and serial ECG, early biomarker testing, chest pain protocols). 2. In patients with

Posted in CCFP EM, Uncategorized

Chest Pain – ED

Chest Pain 1. In a patient with undifferentiated chest pain, assess for life-threatening diagnoses first and promptly recognize clinical presentations that clearly suggest these diagnoses (e.g., ACS, PE, pneumothorax, aortic dissection). Potentially Life threatening chest pain ddx: Unstable angina /

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