90 results
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
negativity (25% of cases ... symmetrically inverted ... (75% of cases) ... Diagnosis #Cardiology #ECG ... #EKG #Wellens #
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... nodal conduction Uses ... Digoxin effect on ECG ... mustache) - Flag inverted ... Cardiology #Digitalis #ECG
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
(Inherited thrombophilias ... • Provoked (e.g ... - No other workup ... years of age → Inherited ... Hypercoagulable #Workup
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... Syncope #diagnosis #workup ... Effectiveness #table
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis
 • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... hardware, Infected ... thrombosis, (e.g ... vasculitis to cause ... Differential #Diagnosis #causes
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Causes of Thrombocytopenia ... Diagnosis and Workup ... function test, ANA (e.g ... patients if the cause ... #Workup #hematology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... KidneyInjury #simplified #workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... rupture Initial workup ... : • EKG • Bedside ... Diagnosis #Algorithm #workup
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... in conduction causes ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
without biopsy) e.g ... and/or cytology (e.g ... of alternative causes ... Algorithm #diagnosis #Workup