94 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... leads Cardiac MRI ... Cardiomyopathy #POCUS
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... - RAD: AntLat MI ... Mg, congenital, MI ... #Approach #ECG ... #EKG #diagnosis
Creutzfeldt-Jakob Disease - Magnetic resonance imaging (MRI) revealed hyperintensity of the cortical gyri of the frontal
resonance imaging (MRI ... Neuro #Radiology #MRI ... CreutzfeldJakob #NEJM
Disseminated Cysticercosis - Magnetic resonance imaging (MRI) of the head revealed diffuse hyperintense septated cystic lesions
resonance imaging (MRI ... Coronal MRI of the ... Radiology #Pathology #MRI ... Solium #Microscopy #NEJM
Nystagmus from Wernicke’s Encephalopathy - Magnetic resonance imaging of the brain showed T2 hyperintensities involving the
Neuro #Wernicke #MRI ... #Thalamus #NEJM
Second Degree AV Block Type I aka Mobitz I / Wenckebach 
 • Normal P waves.
followed by a QRS ... • As the PRI ... group-beating" on the ECG ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm

↑ TSH - Primary hypothyroidism
↑ ß-HCG - Pregnancy
↑ Creatinine
hypothyroidism ↑ ß-HCG ... renal failure MRI
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
electrolytes, CXR, ECG ... CSF, thyroid, MRI