21 results
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
- Acute Sign of ... LAD Occlusion #Diagnosis ... #Cardiology #EKG ... #ECG #DeWinters ... #TWaves
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... (Eiffel Tower sign ... Post-cardioversion • Acute aortic ... #ecg #ekg #electrocardiogram
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 ... excludes other differentials ... ’s called Frog sign ... Cardiology #Neck #Frog #Sign
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
• Ischemic optic ... disease, Vasculitis (e.g ... Rheumatic fever • Aortic ... #joint #pain #differential ... #diagnosis #rheumatology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
• Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... CNS infection (e.g ... ) • Temporal arteritis
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... spondyloarthritis (e.g ... spondyloarthritis (e.g ... Referred Pain: • Aorta
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... GCA #Temporal #Signs
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #CriticalCare #Diagnosis