26 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... triple vessel disease ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... falls (like a wave ... Brucellosis Faget's Sign ... Brucellosis • Liver or lung ... #Patterns #Differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... immunosuppression, travel ... Differential Bilat ... disease, interstitial ... partially seen shred sign
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... • Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... Diagnosis #Algorithm #neurology
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... presentation in winter ... of infection (fever
Systemic Lupus Erythematosus - Diagnosis
Manifestations:
 - Arthritis 69%
 - Malar rash 40%
 - Fever 36%
 -
Malar rash 40% - Fever ... Myositis 4% - Lung ... (aPL) 30-45% Differential ... sclerosis, Still's disease ... autoantibodies #signs
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... Diagnosis Framework Disease ... angioinvasive disease ... • CT: Halo sign ... AIDS #pulmonary #differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
• Interstitial lung ... • Shrinking lung ... syndrome - SLE Neurologic ... , Vasculitis (e.g ... #joint #pain #differential
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs ... of underlying disease