18 results
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
Definition and Diagnostic ... depression on ECG ... CMR). ... of 4-6 weeks or longer ... #criteria #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... Equivalents / Don't Miss Signs ... asymmetrical, similar or bigger ... wave inversion in avL ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... of the leads l, aVL ... #EKG #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... WBC >100k, + lab signs ... acid, Elevated Cr ... Syndrome #TLS #diagnosis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... level, CXR, ANCA ... (to support a diagnosis ... Arthritis #laboratory #workup ... #diagnosis #testing
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... of CXR congestion ... Pharmacology: • ACE ... #heartfailure #diagnosis ... #management #cardiology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
in Anaesthesia Signs ... tachyarrhythmias may all ... Start continuous CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Mass on POCUS Echocardiogram ... Normal work up including ... negative ECG, CXR ... outpatient & ED workup ... #clinical #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... tube ❹ Rapid diagnosis ... • Diagnostic ... examination and vital signs ... #Management #Workup