34 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... of the proximal LAD ... - Isoelectric ST ... Inversion FOAMfrat Team ... #EKG #ecg #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... ) - BRUGADA SIGN ... (SYNDROME) - ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
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
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... point • De Winter syndrome ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... interval J Wave Syndromes ... ventricle pacing lead ... (Eiffel Tower sign ... differential #diagnosis #cardiology
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 ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
ECGs - Syncope Syndromes ... imitator" • ↓ K - ST ... long QT via long ST ... mchlwng #Syncope #Syndromes ... Checklist #diagnosis #cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... on ECG A 66-year-old ... A 12-lead ECG is ... #Wellens #Syndrom ... Electrocardiogram #Clinical #Cardiology