11 results
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
Bifascicular block B - Brugada ... the second B is Brugada ... , can be caused ... characteristically cause ... #EKG #ECG #Diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... syndrome - J-point ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... carotid sinus syndrome ... orthostatic vital sign ... Further diagnostics ... In many cases, syncope
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... are involved • Brugada
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... assoc withlK Brugada ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
and Differential Diagnosis ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta ... #Differential #Diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... WBC >100k, + lab signs ... tetany/cramps, syncope ... unless worrisome EKG ... #TLS #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... at the time of diagnosis ... (e.g. incidental ... cardiomyopathy) and syncope ... #Management #Signs
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
dystrophy - Brain stem ... myasthenia Diagnosis ... Serologic and EMG ... test - Cogan sign ... - Peek sign