22 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... sign of left main ... Clinical #EM #IM #Cardiology ... #EKG #STElevations ... #STE #SharkFin
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Hypernatremia - Differential ... Osmotic diuresis (see ... Polyuria scheme) e.g ... loss • Watery Diarrhea ... Hypernatremia #Nephrology #Differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... RV, McConnell's sign ... A4c #clinical #cardiology
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Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
QT, Osborn J (see ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... Abdominal XRay - Differential ... • infection (e.g ... #Differential # ... Diagnosis #radiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... bradycardia #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
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Causes of ST Segment Elevation - Differential Diagnosis Framework

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