14 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... anterior wall MI ... 'widow maker' lesion ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam # ... diagnosis #cardiology ... #differential #
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
(i.e. entirely positive ... - Fusion beats ... - Brugada's sign ... Versus #ecg #ekg #cardiology ... #diagnosis #electrocardiogram
Cortical Desmoid - MSK Radiology
Imaging Findings:
 • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Desmoid - MSK Radiology ... Bone scans CAN BE POSITIVE ... Differential diagnosis ... Desmoid #clinical #mri ... #diagnosis #msk
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Differential diagnosis ... GAGL): "Reverse J sign ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... Ischemia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
factors include: Short ... for secondary signs ... Differential diagnosis ... foot #clinical #mri ... #diagnosis #msk
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... or destructive lesion ... #management #cardiology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... previous gaze position ... • Examine for signs ... caseyalbin #PhysicalExam