20 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... diagnosis #coronary #syndrome
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... ) - BRUGADA SIGN ... (SYNDROME) - ... SPIKED HELMET SIGN ... Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
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 ... #differential # ... cardiology #electrocardiogram
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... papilledema • Horner syndrome ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... priapism • Lab values ... WBC >100k, + lab signs ... sudden death • Lab values ... unless worrisome EKG
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
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
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 ... Workup #causes #Differential
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... • Acute stroke syndromes ... Lack of UMN/LMN signs ... electromyographic (EMG ... #Weakness #Differential