8 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... had gained 15 kg ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... pericarditis. ... #physicalexam #diagnosis ... #cardiology #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Pericarditis: PR ... diagnosis includes ... ACS vs pericarditis ... #ekg #differential ... #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was enough to diagnose ... and Kussmaul’s sign ... #Pericarditis # ... Echocardiogram #POCUS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... of the leads l, aVL ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... depression Pericarditis ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram