Category: Pulmonology

Pulmonary Embolism (Critical Diagnosis)

This week we are having the talk… The PE talk. It will be one of the most high yield episodes we will ever have on the show. Before listening, please look up the Well’s Score and the PERC rule for reference, and email me with any questions.

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Kline, J. A., & Kabrhel, C. (2017). Emergency Evaluation for Pulmonary Embolism, Part 2: Diagnostic Approach. Journal of Emergency Medicine, 49(1), 104–117. https://doi.org/10.1016/j.jemermed.2014.12.041

Hemoptysis

This week we are going to talk about the 3 types of hemoptysis, the differential diagnosis, and a basic approach.

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Sims T. Hemoptysis. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016.

Chest Xrays

We order lots of imaging in emergency medicine, and during your clerkship, you may be expected to interpret any of these images for yourself. Obviously, you may not be able to perfectly interpret everything, and that’s OK. However, you absolutely HAVE to know how to interpret a chest X-ray. It is very high yield for your SLOE. In this episode I give you a basic approach using an ABCDEFG mnemonic.

Shortness of Breath

The most important thing to remember about shortness of breath is that you need to keep your thoughts and actions focused by using an organized approach. I recommend thinking anatomically. The differential diagnosis for this complaint is huge, and it’s really easy to make mistakes if you don’t develop a system. Also, you MUST calculate a Well’s Score and PERC criteria for your patients with shortness of breath. This is how you determine what tests to pick when you evaluate for pulmonary embolism. Learn this now, because your attendings will quiz you on this frequently during your clerkships.