12 results
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... small blue-colored spot ... #Kussmauls #Sign
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... Other: Electrocardiogram
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral ... wrist XR, the capitate ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Fractures (medial/lateral ... can't make A-OK sign ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... Ischemia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... logical sequence of signs ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... of Q waves in lateral ... (Eiffel Tower sign ... #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of poor perfusion ... Signs of congestion ... auscultation, JVD ... #heartfailure #chf