8 results
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... with chest pain/dyspnea ... seen in 34% of cases ... #Embolism #ECG ... #clinical #cardiology
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
halt nail growth (e.g ... Diabetes Mellitus Half-and-Half ... Systemic #Secondary #dermatology ... Differential #Diagnosis #Algorithm ... #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Differential Diagnosis Algorithm ... Polycythemia - Acquired Causes ... Hypoxia-driven: Cardiac/pulmonary ... Paraneoplastic (e.g ... #hematology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... cause injury by ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
• Amiodarone half ... Acute toxicity (e.g ... Dyspnea 3. ... Exclude other causes ... embolism -
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy • Pulmonary ... embolus 3. ... typical HF sx: dyspnea ... diagnosis #management #cardiology
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... JAK2, CALR-calreticulin ... • Treatment algorithms ... Thrombocythemia #ET #hematology ... diagnosis #management #hematology