20 results
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
Parasternal Short ... towards patient's L shoulder ... tilted towards R shoulder ... #Axis #PSAX #echocardiogram ... #clinical #cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... • Advantages: Longer ... Devices #Comparison #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 ... #Approach #ECG ... electrocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... dorsally and no longer ... Wrist #Carpal #Radiology ... #Orthopedics #Sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Elbow extension → shoulder ... wrist dorsiflexion/finger ... extension → shoulder ... #physicalexam #sports ... #orthopedics #neurology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
other explanation should ... before performing echocardiogram ... effusion, or z scores ... positive, treatment should ... under nail bed of fingers
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neuropathy Shoulder ... wrist dorsiflexion/finger ... extension → shoulder ... #physicalexam #sports ... #orthopedics #neurology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
serologic, and EMG ... characteristic EMG ... myasthenia usually • Starts ... high doses and should ... diagnosis #management #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: Starts ... death Miller Fisher ... Electrodiagnostic studies - EMG ... associated with Miller Fisher ... management #treatment #neurology