127 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... of the proximal LAD ... - Isoelectric ST ... Inversion FOAMfrat Team ... FOAMfrat #Wellens #Syndrome
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... retraction (Collier's sign ... → "setting sun sign ... diagnosis #pineal #neurology
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
common - Rare to hear ... crackles on exam, may hear ... sarcoid Lofgren Syndrome ... polyarthralgias Heerfordt syndrome ... Stages #Staging #Signs
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Knuckle Sign on ... Electrocardiogram of a 68-year-old ... Note the diffuse ST ... except for the ST ... aVR #Knuckle #Sign
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... retraction (Collier's sign ... "setting sun" sign ... #neurology #diagnosis
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... ) - BRUGADA SIGN ... (SYNDROME) - ... SPIKED HELMET SIGN
Ramsay Hunt Syndrome - Herpes Zoster Oticus 
Triad:
1. Ipsilateral facial paralysis 
2. Ear pain 
3. Vesicles
Ramsay Hunt Syndrome ... Ear pain 3. ... Guillain-Barré syndrome ... • Stroke syndromes ... Diagnosis #Symptoms #Signs
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... interval J Wave Syndromes ... involved • Brugada Syndrome ... ventricle pacing lead ... (Eiffel Tower sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... point • De Winter syndrome ... and upsloping ST ... V2 • Wellens sign ... pain • Wellens sign
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD