36 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... enzymes, Head CT ... , Carotid U/S, EEG ... #workup #testing ... #comparison
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
- Diagnosis, Signs ... Management Clinical ... AL) - Kussmaul sign ... despite hx HTN) EKG ... #Management #Signs
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 ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
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 ... #A4c #clinical ... #sign #ClotInTransit
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... indications: • Echocardiogram ... • Head CT • Carotid ... • Brain MRI • EEG
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Brugada's sign ... - Josephson's sign ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... Relevant drug levels (e.g ... appropriate Consider CT ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology