49 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Artery Occlusion on ECG ... > 1 mm - aVR ST ... elevation in VI #LeftMain ... Occlusion #Artery #ECG ... #EKG #Diagnosis
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... aVR is a good ECG ... IM #Cardiology #EKG ... #STElevations #STE ... LeftMainOcclusion #LeftMain
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
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism (VTE ... • Provoked (e.g ... - No other workup ... - Recurrent VTE ... Hypercoagulable #Workup
Imaging options for exclusion of PE in pregnant women
The radiation dose required for either V/Q scanning
are outlined in Table ... OBGyn #Radiology #VTE ... PE #Pregnancy #Workup ... Imaging #Comparison #Table
Autoantibodies and their Disease Associations
ANA - Non-specific; common in SLE, autoimmune hepatitis
Anti-CCP, Rheumatoid factor - RA
Anti-dsDNA
RA Anti-dsDNA - SLE ... - Drug-induced SLE ... - Vasculitis, e.g ... - Vasculitis, e.g ... diseases #diagnosis #table
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... RA, SLE), Post-partum ... Deficiencies #Summary #table
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Echinocandins (e.g ... Generally no routine TTE ... Additional metastatic workup
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
diminished and ST ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Synovitis: • Site ... joint trauma (e.g ... derangements (e.g ... Enthesitis: • Site ... rheumatology #approach #workup