12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
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
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
and McConnell sign ... view E. 60/60 sign ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram ... RightVentricular #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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... inversions V1-V4 plus inferior ... #clinical #cardiology
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
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
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... RV dysfunction. e.g ... correlate in the SHOCK trial ... catheter #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... ancestry, LGE on MRI ... Serial TTE and close ... diagnosis #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #ecg #ekg #electrocardiogram