13 results
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... Algorithm Red ... • Meningeal signs ... lesion • CNS infection ... Matthew Ho, MD PhD
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... 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).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Stankovic, MD, PhD ... Pneumopericardium #clinical ... #cardiology #echocardiogram ... #a4c #plax #pocus
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
kg and swollen ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
elevations in different ECG ... Stankovic, MD, PhD ... Flap #dissection #a4c ... #plax #Echocardiogram ... #clinical #cardiology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... Symptoms: • Headache ... • Common clinical ... Acute meningeal signs
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... vasculitis vs infection ... claudication, headaches ... GCA #Temporal #Signs
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... Change in clinical ... - Cataract Plan ... one post op Cardiology ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... JVD, Orthopnea/PND ... ECG is vital while ... #algorithm #management ... #cardiology #treatment