18 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
intervention (signs ... and symptoms of ... bypass grafting (signs ... and symptoms of ... #CAD #thrombosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential #
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... priapism • Lab values ... WBC >100k, + lab signs ... sudden death • Lab values ... unless worrisome EKG
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... : Bad block? ... Ischemia? ... bradycardia #diagnosis #differential ... #management #cardiology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Occlusion of posterior ... (Wallenberg's syndrome ... Syndrome usually ... varying neurologic signs ... Vertigo #Causes #differential
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
disease (SVC/IVC occlusion ... prick test that can ... Behcet disease) Differential ... retinal tears, Ischemia ... diagnosis #management #signs
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Can be the first ... syndrome, ARVC) ... • Myocardial ischemia ... Digoxin toxicity Symptoms ... #cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup and Differential ... previously stable values ... hypertension and signs ... renal bruit or signs ... parenchymal disease: CKD