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Arjun Khadilkar, MD Profile picture
@akhadilkarMD
Jun 1 • 10 tweets • 4 min read Twitter logo Read on Twitter
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During my Internal Medicine training, I wrote 100s of History and Physicals (H&Ps).

Now as a Cardiology fellow, I read every single H&P for a new consult.

Here are 7 tips and tricks for effective H&Ps. #arjuncardiology #MedTwitter #MedEd #Cardiotwitter #IMG Image
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More from @akhadilkarMD

Arjun Khadilkar, MD Profile picture
May 31
Studying for medical exams can be challenging.

Here are some of my notes I used to study for the IM Boards. Also high-yield for Step 2 CK!

Part #23: Dermatology: 5 High-yield facts! #arjuncardiology #medtwitter #MedEd #IMG Image
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Read 7 tweets
Arjun Khadilkar, MD Profile picture
May 30
Studying for medical exams can be challenging.

Here are some of my notes I used to study for the IM Boards. Also high-yield for Step 2 CK!

Part #22: Dermatology: 5 High-yield facts! #arjuncardiology #medtwitter #MedEd #IMG Image
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Read 7 tweets
Arjun Khadilkar, MD Profile picture
May 15
In order to become a sub-specialist, it is important to first be a good internist!

Here are some of my notes I used to study for the Internal Medicine Boards.

Part #1: 7 High-yield facts!
#arjuncardiology #medtwitter #MedEd #IMG Image
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Read 9 tweets
Arjun Khadilkar, MD Profile picture
May 12
One of the most important diagnostic tests in Cardiology to interpret is the EKG. Here are my thoughts and notes. Let me know what you think!

Thread #19: Pericarditis

#arjuncardiology #medtwitter #CardioTwitter #MedEd #IMG
Acute Pericarditis:
- Inflammation of the pericardium
- May be caused by number of factors: viral/bacterial infection, metastatic tumors, collagen vascular diseases, MI, cardiac surgery, and uremia Image
ECG Changes w/ Acute Pericarditis:
- Early phase is characterized by ST segment elevation, due to inflammation of the epicardium, which accompanies inflammation of the overlying pericardium
- Can have generalized ST-T changes in both anterior and inferior leads Image
Read 9 tweets
Arjun Khadilkar, MD Profile picture
May 3
One of the most important diagnostic tests in Cardiology to interpret is the EKG. Here are my thoughts and notes.

Let me know what you think!

Thread #18: Electrolyte Abnormalities #arjuncardiology #medtwitter #CardioTwitter #MedEd #IMG
Hyperkalemia:
- Distinctive sequence of ECG changes affecting both depolarization (QRS) and repolarization (ST-T)
- First change: Narrowing and peaking of T-waves ('tented' or 'pinched' shape) and can become tall Image
Hyperkalemia:
- Further elevation: PR intervals become prolonged, P-waves may disappear. Will have intra-ventricular conduction delay, with widening of QRS complexes.
- Can lead to large, undulating (sine wave) pattern with asystole and cardiac death Image
Read 11 tweets
Arjun Khadilkar, MD Profile picture
Mar 21
One of the most important diagnostic tests in Cardiology to interpret is the EKG.

Here are my thoughts and notes. Will continue to this thread. Let me know what you think!

Thread #13: Inferior, Posterior, RV Infarction

#arjuncardiology #medtwitter #CardioTwitter #MedEd #IMG
Inferior Wall Infarction:
- Diaphragmatic portion of the LV
- Will see changes in leads II, III, and aVF
- May produce abnormal Q-waves in these leads
- Generally caused by occlusion of the RCA; less commonly can occur with a left circumflex coronary obstruction
Posterior Infarction:
- Occurs on the posterior (back) surface of the LV
- May be difficult to diagnose because characteristic abnormal ST elevations may no appear in any of the 12 conventional leads
- Tall R-waves and ST depressions can occur in V1 and V2
Read 7 tweets

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