12 results
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... • typhlitis #Colon ... Diagnosis #radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... diagnosis includes ... aVR • Classic EKG ... #ekg #differential ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Ischemia? ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Colon Ischemia - Diagnosis Algorithm
Mild disease - Typical symptoms of Cl with none of the associated
Colon Ischemia - ... than three of the criteria ... venous gas on radiologic ... colonoscopy or CT ... #Colon #Ischemia
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 ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
poor prognostic signs ... Muscle Rupture and Ischemic ... afterload • Severe ischemic ... #differential # ... diagnosis #timeline
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... criteria (D) a ... Echocardiogram #a4c
Thumbprinting in Ischemic Colitis- Contrast-enhanced computed tomography of the abdomen, performed to evaluate the possibility of
of the sigmoid colon ... consistent with a diagnosis ... #clinical #radiology ... #CT #thumbprinting ... #sign #NEJM