27 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... - conduction disease ... #Symptoms #Cardiology
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 ... #EKG #diagnosis ... #differential #
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 ... triple vessel disease ... #EKG #diagnosis ... Interpretation #differential
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... to metastatic disease ... Systemic Diseases ... Referred Pain: • Aorta ... #Back #Pain #Differential
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Diagnosis Algorithm Symptoms ... quadrant discomfort Signs ... Associated history: Symptoms ... Raynaud's phenomenon, arthritis ... of autoimmune disease
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
suspected: • Signs ... and symptoms of ... discernable cause • Signs ... microscopic colitis Differential ... , eosinophilic enteritis
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
meningitis), MCC CNS symptoms ... ) Differential Diagnosis ... SLE, Reactive arthritis ... diagnosis #management #signs ... #symptoms #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... of Joint Disease ... categories of joint disease ... necrosis, and Paget disease ... approach #workup #differential
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... ) • Temporal arteritis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... < 30 years - Aorta ... branches • GCA: - Aorta ... Presentation - Systemic Symptoms ... purpura: strong sign