13 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Handle Tear - MSK Radiology ... The "double PCL sign ... also seen on the axial ... Differential diagnosis ... BucketHandle #Tear #knee #mri
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... excludes other differentials ... Hussain Ch @Hussainch ... #Neck #Frog #Sign
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... AMS, SOB from CHF ... bradycardia #diagnosis #differential ... #management #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
on POCUS Echocardiogram ... EKG unremarkable ... previous hx of MI ... This was her EKG ... #clinical #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... can't make A-OK sign ... injury • Terrible triad ... fracture • ED Management ... Dislocation #Posterior #Radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... Equivalents / Don't Miss Signs ... in avL - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... treatment for acute MI ... #Checklist #CHF ... #Management