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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... are crucial. ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
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 #cardiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
attenuation or air-filled ... - Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
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 ... #differential #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... VT #VTach #SVT #Comparison ... #ekg #cardiology ... #diagnosis #electrocardiogram
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
pneumothorax or air ... (loculated air) ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
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 #
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
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... subtle STE in aVR ... in 2% of acute LAD ... be considered a STEMI ... #EKG #ECG #DeWinters