A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema. You order imaging and are concerned for TB but unsure what to do next.
So you think your young, healthy, sexually active patient with a painful joint and weird skin findings might have disseminated gonococcal infection or gonococcal arthritis…but you’re not sure of the difference between the two. Is there a difference? Then you wonder how to properly diagnosis and treat such an illness.
The anatomical location of a posterior myocardial infarction makes it's diagnosis not readily apparent. Intimate knowledge of standard and posterior ECG manifestations of posterior myocardial infarctions is crucial to picking up on this potential fatal pathology. This post aims to provide tips for evaluating patients for posterior myocardial infarction.
