13 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ST elevation in aVR ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... ST elevation in aVR ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... #electrocardiogram
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Crackles / ↓ Air ... pulmonary edema • Air ... atelectasis • Lung ... #differential #Diagnosis
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... abutting the pleura, air-bronchograms ... densities iin the left lung ... #Clinical #Radiology ... #CXR #CTChest #
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... lat decubitus - air ... • Vasculitis (e.g
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
Notice the air-fluid ... attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... ST elevation in aVR ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Diffuse consolidation in bronchoalveolar carcinoma
The chest x-ray shows diffuse consolidation with 'white out' of the left
carcinoma The chest ... with an air-bronchogram ... Final diagnosis: ... #Clinical #Radiology ... #CXR #Consolidation