19 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Testing and Evaluation ... Tests: ECG, Telemetry ... Cardiac enzymes, Head ... , Carotid U/S, EEG ... diagnosis #workup #testing
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... Lead aVR can provide ... Diagnosis #Cardiology #EKG ... #ECG #Lead #AVR ... #Utility #ALiEM
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... - Drop Arm Test ... PhysicalExam #Shoulder #Testing ... #Impingement #ALiEM
Update on the ED Management of Intracranial Hemorrhage: Not All Head Bleeds Are the Same -
Hemorrhage: Not All Head ... #Management #NSG ... IntracranialHemorrhages #ALiEM
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... leads (V1R-V6R) ... precordial leads ... Cardiology #RightSided #EKG ... #ALiEM
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... Cardiology #Posterior #EKG ... #Lead #Placement ... #ALiEM
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Syncope Cost-Effectiveness ... Cost-effective tests ... cost-effective tests ... Echocardiogram • Head ... Cardiac stress testing
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... dagger Q lat>inf leads ... RAE, RV strain (neg ... Wong @mchlwng #Syncope ... #EKG #Checklist
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
Impingement - Neer Test ... the patient's head ... RotatorCuff #Neer #Test ... #ALiEM
Drop Arm Test 1. Position patient's arm fully abducted so hand is over the head. 2.
Drop Arm Test 1. ... hand is over the head ... #RotatorCuff #Test ... #DropArm #ALiEM