10 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
Chest pain after ... AFib ablation. ... had pleuritic pain ... Clinical #Cardiology #EKG ... #ECG #Pericarditis
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
CARDIAC: asytole or Vfib ... most common is Afib ... EKG, labs, cardiac ... patients with normal ECG ... Abnormal ECG or
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... #CVA #stroke #workup
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Symptoms: • Chest pain ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
joint trauma (e.g ... derangements (e.g ... #MSK #rheumatology ... #approach #workup ... #differential #
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
disease, Vasculitis (e.g ... arteritis #Extrarticular ... conditions #joint #pain ... #differential # ... diagnosis #rheumatology
Atrial fibrillation (AF or A-fib) is an abnormal heart rhythm characterized by rapid and irregular beating.
fibrillation (AF or A-fib ... breath, or chest pain ... Clinical #MedStudent #EKG
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Non-autoimmune rheumatologic ... • Malignancy (e.g ... Endocrine disorders (e.g ... Arthritis: • Joint pain
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
presents with pain ... red bone marrow, e.g ... SPB - commonly axial ... Oncology #Diagnosis #Workup ... #Hematology