64 results
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... Cath showed 100% ... ProximalLAD #Occlusion #ECG ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... Axis Response to ACTH ... Stim test is 250 mcg ... Insufficiency #Diagnosis #Algorithm ... #ACTH #Stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... Baseline plasma ACTH ... High baseline ACTH ... Differential #Diagnosis #Algorithm
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Differential Diagnosis Algorithm ... • GH • ACTH ... Physiological (e.g ... Compensation (e.g ... Differential #Diagnosis #Algorithm
Benign Adrenal Mass - Differential Diagnosis Algorithm
Hyperplasia - Often Bilateral
 • Congenital Adrenal Hyperplasia
 • ACTH
Differential Diagnosis Algorithm ... Hyperplasia • ACTH ... Dependent • ACTH ... High Plasma E2 +Clinical ... Differential #Diagnosis #Algorithm
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Centor - Clinical Decision Rule for Management of Sore Throat #Diagnosis #Management #EM #IM #Centor #Criteria
Centor - Clinical ... Diagnosis #Management #EM ... #StrepThroat #Algorithm
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
Autoimmune:
 • Isolated
 • Polyglandular autoimmune syndrome 1
 •
Differential Diagnosis Algorithm ... Thrombophilia • Critical ... adrenomyeloneuropathy ACTH ... Differential #Diagnosis #Algorithm
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... exposed tothe sun (e.g ... Caused by excessive ACTH ... same precursor as ACTH ... gluconeogenesis enzymes (e.g