27 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... - Acute MI - Pericarditis ... #Diagnosis #Cardiology ... #EKG #ECG #Lead ... #AVR #Utility #ALiEM
Murmurs Needing Echocardiography Evaluation #Management #EM #IM #Cardiology #Murmur #Benign #Characteristics #Echocardiogram #ALiEM
Echocardiography Evaluation #Management ... #EM #IM #Cardiology ... Echocardiogram #ALiEM
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Prolongation #Clinical #EM ... #Cardiology #EKG ... QTProlongation #Loperamide #ALiEM
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... in acute pericarditis ... inverted #Diagnosis #EM ... #IM #Cardiology ... #EKG #Pericarditis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
• Nonoperative managernent ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Proximal #MSK