23 results
Sinus Arrhythmia - ECG Diagnosis
Remember in Sinus arrhythmia, the P to P varies by > 0.16
Sinus Arrhythmia - ECG ... arrhythmia, the P to P varies ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... a replacement valve ... #MitralValve #Endocarditis ... #a4c #plax
Mobitz Type I (Wenckebach Phenomenon) 2nd Degree AV Block on EKG
 • P-R interval gradually increases
Degree AV Block on EKG ... to 6:5 in this ECG ... Block #AVBlock #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
No prognostic value ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... consultation • Valve ... block (+/- daily EKG ... growth or worsening valve ... of infection (e.g
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Imaging Plane, e.g ... ., LAX, SAX, or4C ... Structures Visualized, e.g ... ., Mitral valve ... (MV), Aortic valve
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Procalcitonin Limitations - Situations where PCT can be misinterpreted:
- Single value testing
- AKI/CKD
- Pancreatitis
- Cancers/Neoplasms
- Trauma
-
misinterpreted: - Single value ... Localized infections (e.g ... Atypical pathogens (e.g ... Nick Bennett @nbennett04 ... Limitations #PCT #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Influenza Prosthetic Valve ... ↑ ESR, CRP • EKG ... aureus prosthetic valve ... #Endocarditis #diagnosis
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
closed tricuspid valve ... activation from SVT (e.g ... Cannon #AWaves #diagnosis ... #cardiology #CVP