12 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology ... #a4c
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
for pericardial effusion ... heart disease, shunt ... lesions) • Differentiate ... Echocardiography #diagnosis #cardiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Right to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... Hypoxia #hypoxemia #differential
Bone Tumor Location within the Skeleton

Epiphysis: 
Only a few lesions are located in the epiphysis, so
included in the differential ... be added to the differential ... sarcoma, SBC, ABC ... Diaphysis #Epiphysis #Radiology ... #MSK #Differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
either due to a diffusion-perfusion ... 1) or anatomic shunt ... Arterial blood gas (ABC ... performed on room air ... older) on room air
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
FOPE lesion) - MSK ... Radiology Imaging ... early physeal fusion ... (save $$) Differential ... #diagnosis #msk
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... Radiology Imaging ... Usually NOT joint effusions ... Differential diagnosis ... #diagnosis #msk
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
ventilation to perfusion ... granulomatosis • Abnormal perfusion ... -W237. 10.2214/AJR ... lung #diseases #differential ... #STARCHASERS #radiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
state (not always AR ... beriberi) and AV shunt ... highest on my differential ... Fingernails #Nailbed #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... ST elevation in aVR ... EKG #diagnosis #differential ... #cardiology #electrocardiogram