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cardiology ecg electrocardiogram differential clinical ctchest equivalents twaves calculi calculus cavity chestxray contusion criteria dewinters elevation emboli imaging interpretation ischemia
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... ST elevation in aVR ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... ST elevation in aVR ... #TWaves #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 ... bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... subtle STE in aVR ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Pertinent Chest x-ray Findings in the Trauma Patient and Implications Respiratory distress without x-ray findings - Central
pneumothorax or air ... chest (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
CT demonstrates ... can suggest the diagnosis ... abutting the pleura, air-bronchograms ... #Clinical #Radiology ... #CXR #CTChest #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #cardiology #ecg
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... is desirable, e.g ... Non-contrast CT ... stones #calculus #Radiology ... #Diagnosis
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 ... (CXR), try rotating ... not seen on a CXR ... #Radiology #CTChest
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