15 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Syncope #diagnosis #workup
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Concordant STE > 1 mm ... Concordant STD > 1 mm ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... a NCCT or • MRI ... Detected on NCCT vs MRI ... Cardioembolic: • ECG ... #CVA #stroke #workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... risk factors (eg ... 160-179/100-109 mm ... pressure >180/110 mm ... #Hypertension #Workup
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... = Biomarkers + ECG ... downgoing ST or 1 mm ... early inferior MI ... #EKG #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... and Survey 4) Workup ... Shock - MI ... criticalcare #treatment #workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Diagnosis and Workup ... No additional workup ... atypical symptoms): MRI ... inflammatory cause) • EMG
Magnetic resonance imaging of the brain revealed a giant pituitary adenoma measuring 48 mm in diameter
adenoma measuring 48 mm ... Clinical #Radiology #MRI ... PituitaryAdenoma #NEJM
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... Orthostatic BP • ECG ... • Ambulatory ECG ... Carotid US • Brain MRI ... Syncope #diagnosis #workup
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
dystrophies Work ... electromyographic (EMG ... ) studies • MRI