10 results
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... Normalization Spodick's sign ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
assoc with 1K, AV ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
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 ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... #electrocardiogram
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... plasmaphoresis Box D: AIR ... Discontinue source of air ... attempt to aspirate air
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #cardiology #ecg ... #ekg #electrocardiogram
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... indicated, start CPR ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... a chest x-ray (CXR ... #Radiology #CTChest ... #Lung #Pulmonary