23 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... fibrillation Clinical ... JWave #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hyperkalemia after ... and a prolonged QT ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia
Hyperkalemia with Peaked T waves on ECG

These are the classic peaked T-waves of Hyperkalemia. Notice how
Peaked T waves on ECG ... to a baseline ECG ... Be able to recognize ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... of long QT, ST-depression ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Diagnosis Algorithm ... Liver Failure • Hypercalcemia ... • Rheumatoid Arthritis ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... symptoms and signs (e.g ... CNS infection (e.g ... ) • Temporal arteritis ... #neurology #PHANTOMS
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... Testing #Causes #differential ... #diagnosis #table ... #neurology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Diagnosis Algorithm ... Releasing Carcinoma (e.g ... Other Source (e.g ... High Plasma E2 + Clinical ... Hypertension +/- Hypokalemia
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
with previously stable ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff