21 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... , and additional ... Echocardiogram #A4c ... #clinical #cardiology
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... larger shunt #ECG ... #EKG #Cardiology ... #ASD
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... contract nearly ... EKG of the same ... excludes other differentials ... PhysicalExam #JVP #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... echocardiogram #s4c
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... death. 2. ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... uncommon - 1 to 2% ... patients with pulmonary ... #Diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... QRS complex Pulmonary ... elevation seen > 2 ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram