26 results
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
pacemaker - ECG ... wave contour is gradual ... pacemaker shifts back ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
rate change is gradual ... Wandering Atrial ... pacemaker shifts back ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... pain: Axial spondyloarthritis ... (e.g. ankylosing ... spondyloarthritis (e.g ... #Pain #Differential
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
clinical response (e.g ... the following: lack ... source control (e.g ... alternative diagnosis (e.g ... #EBM #ID #Management
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
rate change is gradual ... Wandering Atrial ... pacemaker shifts back ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial ... Mobile #LA #TEE #Echocardiogram
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... /Afib/WPW) • Loss
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
rigidity, spasm - axial ... - Stiffness in axial ... unit activity on EMG ... of diazepam • EMG ... TPO, TTG, etc EMG
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
with chest/abd/back ... tissue disorder e.g ... Pulse deficit/differential ... blood pressure: e.g ... Dissection #diagnosis #management