10 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 ... #EKG #diagnosis ... 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 ... #EKG #diagnosis ... #differential #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... cardiology #McConnells #sign
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... (Eiffel Tower sign ... #ecg #ekg #electrocardiogram
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... • Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... #neurology #PHANTOMS
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 ... of infection (fever ... #CriticalCare #Diagnosis
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 ... NOT definitively diagnose
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... hyperthermia crisis (late sign ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... Anesthesia #Checklist #Diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... • Headache • Fever ... Acute meningeal signs ... (fever, nuchal ... #diagnosis #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
life-threatening Differential ... dystrophy - Brain stem ... test - Cogan sign ... - Peek sign ... #management #neurology