11 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Endomyocardial biopsy ... intolerance • Chest ... gallop • Abnormal ECG ... #Management #Cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... 's female with chest ... Differential/diagnosis ... #EKG #Electrocardiogram ... #clinical #cardiology
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... #clinical #Lymphangioleiomyomatosis ... #LAM #radiology ... #CT #wedge #biopsy ... #NEJM
Here we see a CT-image.
The azygoesophageal recess is displaced by lymph nodes that compress the left
Here we see a CT-image ... The final diagnosis ... made through a biopsy ... #Clinical #Radiology ... #CTChest #Mediastinal
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... un lymphatic Diagnostic ... Chest x-ray: signs ... Other: Electrocardiogram ... endomyocardial biopsy
The CT-image is not very helpful in the differentiation.
There are hypodense areas, which could be masses.
On
The CT-image is ... Finally the diagnosis ... made based on biopsy ... #Clinical #Radiology ... #CXR #CTChest #
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
release assay (e.g ... ESR, +/- CRP • CT ... upon geography/travel ... Biopsy - Temporal ... Origin #Workup #diagnosis
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
A chest radiograph ... bronchoscopy and biopsy ... confirmed a diagnosis ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #