12 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
small box wide, can ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... inverted T V2-4 can ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... ., CXR, CT, ultrasound ... symptoms (e.g., ... chest pain) and signs ... #Pulmonolary
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... absence of visual symptoms ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... Management Pneumonia Signs ... /Symptoms: • Confusion ... radiograph or CT ... #treatment #Pulmonary
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
dystrophy - Brain stem ... Serologic and EMG ... test - Cogan sign ... - Peek sign ... Imaging - CT Chest
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Nasal polyps and signs ... parenchyma Diagnosis ... high-resolution chest CT ... #differential #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Presentation: Systemic Symptoms ... purpura: Strong sign ... < 30 years • Aorta ... Arteritis): • Aorta ... • Progressive symptoms
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Coltivirus Symptoms ... parenchymatous (tabes ... influenzae Symptoms ... Acute meningeal signs