23 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... Serial EKGS in pts ... #Wellens #Sign # ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... Abdominal XRay - Differential ... • infection (e.g ... #Differential # ... Diagnosis #radiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... • Antlviral (lymphocytic ... #Management #Cardiology
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... : 'signet ring sign ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Cysts #Differential
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
she declines any chest ... s the clinical sign ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... #bradycardia #diagnosis ... #differential # ... 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 ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Patterns - Differential ... Diagnosis Framework ... Histiocytosis, Lymphocytic ... #Diagnosis #pulmonary ... #radiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... - Differential Diagnosis ... #physicalexam # ... diagnosis #cardiology ... #differential #