13 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
access, monitor • Finger ... r/o hemorrhage and ... Cardioembolic: • ECG ... stroke #workup #diagnosis ... #checklist #neurology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
caused by disruption ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
12-lead ECG machine ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... asymmetrical, similar or bigger ... upsloping ST dep and ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... production to cause ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... safe #, but >500 DANGER ... Short QT <300-360 ms ... #Approach #ECG ... #EKG #diagnosis
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
is desirable, e.g ... obstruction - Able ... Combination of above MRI ... for non-calculus causes ... stones #calculus #Radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... J point • De Winter ... deviation) • Acute ischemia ... #EKG #diagnosis
Cortical Desmoid - MSK Radiology
Imaging Findings:
 • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Cortical Desmoid - MSK ... Radiology Imaging ... Case description ... MR is able to distinguish ... #diagnosis #msk
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... ancestry, LGE on MRI ... during Delivery • Stable ... #management #cardiology