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Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
on Chest CT • Main ... crossover sign ... the level of the carina ... ChestCT #CTChest #Radiology ... #cardiology #diagnosis
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... psax #diagnosis #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
) - BRUGADA SIGN ... MYOCARDITIS - BENIGN ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... of Left Main occlusion ... is a good ECG sign ... of left main occlusion ... Clinical #EM #IM #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... 'widow maker' lesion ... #Wellens #Sign # ... Electrocardiogram #Diagnosis #Cardiology
Abnormally Colored Urine - Differential Diagnosis Framework
Red:
 - Hematuria, Hemoglobinuria, Myoglobinuria
 - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... Purple: - Purple urine ... Ann Marie Kumfer ... AnnKumfer #Colored #Urine
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Metabolic Alkalosis Urine ... CI < 20 (Saline ... Volume Contraction Urine ... Cl > 20 (Saline
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal Urine ... Diagnosis Turbid White Urine ... * Green Urine: ... : • Purple Urine ... clover) Orange Urine
Murmurs Needing Echocardiography Evaluation #Management #EM #IM #Cardiology #Murmur #Benign #Characteristics #Echocardiogram #ALiEM
Management #EM #IM #Cardiology ... #Murmur #Benign
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
acute ischemic lesion ... ADC maps, the lesion ... hyperintense at 27 days, making ... FLAIR images, lesion ... CVA #Clinical #Radiology