9 results
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 ... inversion in avL - early ... #EKG #diagnosis ... Interpretation #differential
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 ... B - Deeply inverted ... #differential #
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
) • Systemic symptoms ... and signs (e.g. ... , fever, myalgia ... ) • Temporal arteritis ... Diagnosis #Algorithm #neurology
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
CNS infection: fever ... thrombophilia, neurologic ... signs/symptoms ... Fatal #Dangerous #Deadly ... #Differential
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... those coming off aorta ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs
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 ... ): • Aorta and ... • Progressive symptoms
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Coltivirus Symptoms ... • Headache • Fever ... Acute meningeal signs ... (fever, nuchal
Headaches Overview - Primary vs Secondary Headaches

What’s the Core Difference?
 • Primary headache = headache is
headache is a symptom ... tears, same time daily ... hydrocephalus) • Neurologic ... N Neurological signs ... confusion, focal signs
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... papules and Gottron sign ... ) • Shawl sign ... Overlap Syndrome: Fever ... • Nonerosive arthritis