32 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... Pulse deficit/differential ... #Dissection #diagnosis ... #management #vascular
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... 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 #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... excludes other differentials ... ’s called Frog sign
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of Dysphagia - Differential ... Diagnosis Oropharyngeal ... mass, enlarged aorta ... Esophageal #Dysphagia #Differential ... #Diagnosis #causes
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
syncope (ruling out differential ... diagnoses), ruling ... further guide management ... orthostatic vital sign ... Further diagnostics
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... duodenum Clinical Signs ... • Should be on differential ... de novo between aorta ... or within the aorta
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria • Signs ... renal vein between aorta ... #Hematuria #Differential ... #Diagnosis #causes
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... Referred Pain: • Aorta ... #Back #Pain #Differential ... #Diagnosis #causes