45 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... Abdominal XRay - Differential ... • infection (e.g ... #Differential # ... Diagnosis #radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... IVIG (Giant cell, eosinophilic ... #Management #Cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Cysts #Differential
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
dealing with the differential ... diagnosis of chronic ... There was no eosinophilia ... which excludes eosinophilic ... #Clinical #Radiology
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Exam 69 year old ... she declines any chest ... s the clinical sign ... shown , what’s the diagnosis ... PhysicalExam #JVP #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Angiography 55 year old ... , severe chest pain ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
angiogram findings Pathologic ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential