8 results
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically anterior ... anteroapical (anterior ... poor prognostic signs ... papillary muscle (inferior ... #diagnosis #timeline
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... in avL - early inferior ... #ECG #EKG #diagnosis ... Interpretation #differential
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
Vision loss - Differential ... Diagnosis Ischemia ... occlusive disease (anterior ... ischemic optic ... closure glaucoma), anterior
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... (A) a dilated inferior ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Diagnosis Framework ... and Management ... → renal ischemia ... #Diagnosis #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... anteroseptal and inferior
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... Reversible course Differential ... Diagnosis: • ... #management #neurology