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cardiology ecg differential stemi twaves clinical equivalents lam lymphangioleiomyomatosis pneumothorax radiologyassistant abscess acutepe algorithm cardiomyopathy causes contusion criteria ctchest dewinters
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
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Changes • STE in aVR ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Rapid Response Management ... Crackles / ↓ Air ... edema • Air: ... atelectasis • Lung ... #differential #Diagnosis
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
There is a hydropneumothorax. Notice the air-fluid level (blue arrow). The upper lobe is still attached to the
Notice the air-fluid ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
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 ... #Abscess #pulmonary
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... QRS complex Pulmonary ... #cardiology #ecg ... #ekg #electrocardiogram
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