12 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... #Wellens #Sign # ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells ... #sign #ClotInTransit
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
- Widespread T wave ... Normalization Spodick's sign ... seen in acute MI ... #cardiology #diagnosis ... #clinical
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
are enough to diagnose ... excludes other differentials ... that’s called “clinical ... ’s called Frog sign ... #Neck #Frog #Sign
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
mass and NO prior signs ... ON THE X-RAY! ... Differential diagnosis ... #clinical #Radiology ... #diagnosis #msk
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Progressive URI ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
for secondary signs ... Differential diagnosis ... #mri #clinical ... #Radiology #diagnosis ... #msk
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
The "double PCL sign ... Differential diagnosis ... BucketHandle #Tear #knee #mri ... #clinical #Radiology ... #diagnosis #msk