9 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
, Aortic dissection ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Ischemia #ECG #EKG #diagnosis ... Interpretation #differential
Aortic Root Sign

The aortic root sign an anomalous circumflex coronary artery (ACCA) that emerges from the
Aortic Root Sign ... sign an anomalous ... underneath the aorta ... to supply blood ... #Aortic #Root #Sign
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 ... Equivalents #ECG #EKG #diagnosis ... #differential #
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 ... Post-cardioversion • Acute aortic
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... very remarkable w/differential ... them, but urgent rheumatology ... #Temporal #Signs
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
< 30 years - Aorta ... and branches • GCA ... : - Aorta and ... purpura: strong sign ... #diagnosis #rheumatology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup and Differential ... Diagnosis Approach ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... hematuria • Signs ... renal vein between aorta ... #renal #urine #blood
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... pulses, bruits, or blood ... < 30 years • Aorta ... Arteritis): • Aorta ... #Diagnosis #Rheumatology