10 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... / Don't Miss Signs ... wave inversion in avL ... #ECG #EKG #diagnosis ... #STEMI #Equivalents
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #ECG #EKG #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... • Negative for ischemic ... changes CXR: ... Transfusion-related acute lung ... differential #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... antiarrhythmics - Ischemic ... Nephrotoxins (e.g ... channel blocker (eg
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... event, follow ACC ... indicated • EKG ... Obtain EKG if: ... indication of AC
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
logical sequence of signs ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... of diagnosis (e.g ... . incidental CXR ... Pulmonary: dyspnea ... Diagnosis #Management #Signs