15 results
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... by inflammation and ... field: altitudinal defect ... Doppler US : halo sign ... #Rheumatology #Ophthalmology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... , and additional ... A4c #clinical #cardiology ... #McConnells #sign
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
Hilum Overlay Sign ... contact with the pulmonary ... the silhouette sign ... Hilum #Overlay #Sign ... #CXR
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Consolidation #Differential
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... the R wave in inferior ... #EKG #Cardiology ... #Crochetage #Sign ... #ASD
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... ST elevation: Differential ... to detect VT than ... #differential # ... cardiology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... required +/- prompt ophthalmology ... #Temporal #Signs
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... upsloping ST dep and ... in avL - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... claudication, pulse deficits ... CRP GCA (Giant ... develop in pts with GCA ... impairment, neurologic deficits