9 results
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... prominent, symmetric T waves ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... rapid cannon a waves ... excludes other differentials ... that’s called “clinical ... Hussainch #Cannon #Awaves
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Overview Clinical ... diffuse goiter (Graves ... antibodies (TRAb) if Graves ... arrhythmia - Fever ... #differential #
Emergencies related to thyroid gland diseases are infrequently observed in the clinical practice. They are caused
observed in the clinical ... today was that of Graves ... in 1850 and the cause ... emergencies are caused ... new techniques – e.g
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 ... partially seen shred sign ... #Lung #POCUS #clinical
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... • Headache • Fever ... • Common clinical ... Acute meningeal signs ... (fever, nuchal