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However, there are more kinds of ischemia than just STEMI and many of these can be
of these can be subtle ... of even normal ECGs ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #Mimics
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Ischemia T-Waves on ECG ... of these can be subtle ... of even normal ECGs ... Diagnosis #Cardiology #ECG ... #EKG #NSTEMI #Ischemic
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
HPS) Diagnosis Algorithm ... Bubble echo is ... the same way on bubble ... HPS #Diagnosis #Algorithm
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
chest x-ray shows subtle ... Notice the subtle ... Clinical #Radiology #CXR
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... : • EKG • Bedside ... ultrasound • CXR ... Pain #Diagnosis #Algorithm ... #workup
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
, no extensive workup ... EtOH - Infectious workup ... : CXR, UA, urine ... blood cultures - ECG ... #Differential #Algorithm
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup ... Algorithm Gynecomastia ... Labs: TSH, Cr, LFTs ... Testosterone, HCG ... #Algorithm #endocrinology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
between the stomach bubble ... radiograph, the stomach bubble ... the stomach air bubble ... Clinical #Radiology #CXR
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... Notice the subtle ... Clinical #Radiology #CXR ... LLL #Pneumonia #Subtle
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... suspicion) • +/- bubble ... #CVA #stroke #workup