11 results
92F w acute painless monocular vision loss. What's the diagnosis?

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Central retinal artery occlusion (CRAO)! Retrobulbar "spot
What's the diagnosis ... Central retinal artery ... Retrobulbar "spot sign ... eye using PW Doppler ... Clinical #POCUS #OcularUS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... T wave in V1 - normal ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
after) the J point ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... • Epicardial artery ... #cardiology #ecg
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... systemic sx + signs ... involve the temporal artery ... 50 in GCA, but normal ... GCA #Temporal #Signs
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... dystrophy - Brain stem ... Serologic and EMG ... test - Cogan sign ... - Peek sign
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
have a low or normal ... Indirect Fick (using ... Ahmed Ghoneem, MD MSc ... #catheter #diagnosis ... #cardiology #swanganz
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... (e.g. incidental ... anterior/posterior MSK ... ), liver (pain/abnormal ... #Management #Signs
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Symptoms and Signs ... common symptoms and signs ... or arrhythmia) during ... (eg, colonoscopy ... After sufficient
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Diagnosis? ... organism (soap bubble sign ... drained at time of diagnosis ... risk of death during ... Brain #clinical #radiology