34 results
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... • Capture and fusion ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... Ameliorate increased work ... reverse the insult (eg ... oxygenation; remove work
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
joint trauma (e.g ... subchondral bone (e.g ... derangements (e.g ... #Joint #Pain #MSK ... rheumatology #approach #workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... criticalcare #treatment #workup
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Sleep Deprivation (Eg ... Shift Work) Sleep ... Neurologic Disorders (Eg ... • Medications (Eg ... • Drug Abuse (Eg
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Massive pericardial effusion ... #Pericardial #Effusion ... clinical #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Massive pericardial effusion ... #Pericardial #Effusion ... clinical #cardiology #pocus
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... on POCUS Good ... in pericardial effusion ... EKG from same patient ... electrical #alternans #POCUS
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... echocardiogram to workup ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus