24 results
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
• Neurological deficits ... • Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... CNS infection (e.g
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... larger shunt #ECG ... #EKG #Cardiology ... #Crochetage #Sign
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... clinically, based on signs ... standard 12 lead ECG ... Lead I on the ECG ... #Cardiology #EKG
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... Colon #Thumbprint #Sign ... #Differential # ... Diagnosis #radiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... Acute/severe headache ... rigidity) Consider EEG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... Hussain Ch @Hussainch ... #Neck #Frog #Sign
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Enteroviruses (e.g ... Symptoms: • Headache ... Meningitis: • Headache ... Acute meningeal signs