21 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... ) UOP > 0.5 cc/kg ... #algorithm #treatment ... #management
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Diagnosis and Management ... • Hyperkalemia ... #Diagnosis #Management ... #cardiology #wide ... #narrow #algorithm
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Adrenal Mass - Differential ... Diagnosis Algorithm ... High Plasma E2 + Clinical ... Hypertension +/- Hypokalemia ... #Diagnosis #Algorithm
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Diagnosis Algorithm ... • Low EABV (e.g ... ., CHF, cirrhosis ... #Diagnosis #Algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... 1 week MH/CCF ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... that’s called “clinical ... Hussain Ch @Hussainch
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... • EEG: With persistent ... #management #neurology