13 results
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... #Pericarditis #EKG ... #cardiology #diagnosis ... #clinical
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... Absence of ST elevation ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #EKG #Clinical
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ab to AChR blocks ... dystrophy - Brain stem ... and EMG Findings ... Labs: - AchR antibodies ... #management #neurology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Variable troponin elevation ... Diagnosis: ... changes on tele/ECG ... #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Myocardial injury (ST elevation ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate Elevation ... by excretion (e.g ... its metabolism (e.g ... tests before beginning ... lactate and can act
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... titer, ACE level ... Chemistry profile (e.g ... ANA and RF (if clinical ... #testing #Rheumatology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... not be subtle e.g ... the “Chewing gum test ... them, but urgent rheumatology ... #Management
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Related Disease Clinical ... specific laboratory tests ... Glucocorticoids (0.6 mg/kg ... #management #phenotypes ... workup #treatment #rheumatology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis