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

1) Is visual loss caused
Anterior ischemic ... field: altitudinal defect ... Doppler US : halo sign ... #Rheumatology # ... Ophthalmology #Diagnosis
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
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... very remarkable w/differential ... them, but urgent rheumatology ... required +/- prompt ophthalmology ... #Temporal #Signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #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
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,
Vasculitis - Differential ... purpura: Strong sign ... CRP GCA (Giant ... impairment, neurologic deficits ... #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... vasculitis) - Affects ... branches • GCA ... purpura: strong sign ... #diagnosis #rheumatology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... (Eiffel Tower sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Aldolase levels • EMG ... Gottron sign) ... • Shawl sign • ... #differential #