9 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Interpretation #differential
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Where did you travel ... Rabies, cat scratch fever ... uw_IMresidency #Travel ... InfectiousDiseases #Infections #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... POCUS lung exam ... immunosuppression, travel ... Differential Bilat ... partially seen shred sign
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
to Eosinophilic Lung ... brown sputum, fever ... Fungal, parasites; Travel ... #Eosinophilic #Lung ... Diseases #pulmonary #differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... without localizing signs ... #Returning #Traveler ... #differential # ... diagnosis #tropical #travel
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
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
diffuse goiter (Graves ... antibodies (TRAb) if Graves ... arrhythmia - Fever ... causes #diagnosis #differential ... endocrinology #signs
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
conidia → Yeast → travel ... respiratory symptoms • Fever ... Hematopoietic stem ... change in the lungs ... nails, bronchi, lungs