Can’t Miss Diagnoses Unilateral Acute DVT (proximal, isolated distal) Arterial Occlusion Cellulitis MSK Septic Joint Bursitis Fracture Ruptured Baker’s Cyst Compartment Syndrome Superficial Thrombophlebitis Necrotizing Fasciitis HematomaMyositis Bilateral Acute Bilateral DVT Cellulitis CHF Exacerbation Constrictive Pericarditis AKI Nephrotic Syndrome IVC Thrombosis Medication Adverse Event Preeclampsia Considerations in the age of COVID-19 for your safety: Many individuals with COVID-19 can present entirely asymptomatically, without cough or fever. If the rate of COVID-19 is high …

Can’t Miss Diagnoses Sepsis (obviously) – but critically important to find the source and control it! Meningitis / Encephalitis (Not to miss since may need LP for full diagnosis) Febrile neutropenia (especially if recent chemotherapy) Alcohol Withdrawal (hyperthermia, tachycardia, diaphoresis) Benzodiazepine Withdrawal (hyperthermia, tachycardia, diaphoresis) Toxic ingestions – cocaine, methamphetamines, crystal meth Thyroid Storm Serotonin Syndrome Neuroleptic malignant syndrome Points to focus upon Approximately 0.5% of ED visits are related to sepsis, with …

Points to focus upon How common is this:Pulmonary embolism is a relatively rare diagnosis (0.08%) in the emergency department, however, due to the potential for adverse outcomes, it is important to maintain a high degree of suspicion among vulnerable populations.​1​ Approximately half of the patients are admitted to hospital in Canada, although this proportion is much higher in the USA (90%).​2,3​ DDx that present similarly:Highly variable presentation – DDx will depend on presenting …