12 results
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
diastolic collapse — a sign ... chronic severe aortic ... large systolic stroke ... #PhysicalExam # ... #Cardiology #Clinical
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
Corrigan’s pulse ... chronic severe aortic ... large systolic stroke ... Quinckess #Pulse #PhysicalExam ... #Cardiology #Clinical
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... #Differential # ... Diagnosis #radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... Equivalents / Don't Miss Signs ... #ECG #EKG #diagnosis ... Interpretation #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... • <6mo since stroke
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology