38 results
Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... MD @drcyncity #Differential ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
B Afib + WPW - DANGER ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology ... #MRI
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
access, monitor • Finger ... a NCCT or • MRI ... Detected on NCCT vs MRI ... Cardioembolic: • ECG ... diagnosis #checklist #neurology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... safe #, but >500 DANGER ... - Short QT <300 ... #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
delta wave and short ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... it possible to differentiate ... #Evolution #MRI ... CVA #Clinical #Radiology ... Interpretation #Findings #Neurology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... well-localized, dull, longer ... Pain #Mechanisms #Neurology ... #Differential #