18 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
and ventricles contract ... to JV when RA contracts ... excludes other differentials ... ’s called Frog sign ... Cardiology #Neck #Frog #Sign
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Clues to Infectious ... Schistosomiasis • Skin contact ... HIV • Sexual contact ... #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 ... EKG #diagnosis #differential
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
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... findings: Fluid wave ... LR 2.1) - fluid wave ... dullness, puddle sign ... incisional). 3) Signs
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... Additional tox/infectious ... Evidence of infection
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... B, hepatitis C infection ... 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
Fever Patterns - Differential ... and bacterial infections ... falls (like a wave ... Brucellosis Faget's Sign ... Fever #Patterns #Differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Inadequate injection ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble