10 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
declines any chest pain ... s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... include chest pain ... Inform theatre team ... #Checklist #Diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... • Wellens sign ... deviation) • Acute ischemia ... Equivalents #ECG #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... -4 can have no pain ... #ECG #EKG #diagnosis ... Interpretation #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... #differential # ... diagnosis #lower ... extremity #msk #physicalexam
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
with surgical team ... : o Cardiac ischaemia ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Diagnosis Framework ... : • Purpura, ischemic ... Kidneys: glomerular ischemia ... well as inner ear ... purpura: strong sign
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... Diagnosis: • Systemic ... purpura: Strong sign ... tract: Abdominal pain
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Behcet disease) Differential ... Giant retinal tears ... , Ischemia, Leukemia ... Nonsurgical abdominal pain ... #management #signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Possible responses to pain ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam