8 results
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
poor prognostic signs ... ; ratio of neck ... Infarction #acuteMI #cardiology ... #differential # ... diagnosis #timeline
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Differential diagnosis ... GAGL): "Reverse J sign ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... #ECG #EKG #diagnosis ... #differential #
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Handle Tear - MSK Radiology ... The "double PCL sign ... Differential diagnosis ... BucketHandle #Tear #knee #mri ... #diagnosis #msk
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Progressive URI ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
/ Don't Miss Signs ... in avL - early inferior ... Ischemia #ECG #EKG #diagnosis ... #STEMI #Equivalents ... Interpretation #differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest