10 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... : Differential diagnosis ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #ekg #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Endomyocardial biopsy ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... gallop • Abnormal ECG
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Myocardial injury (ST elevation ... #Myocarditis #diagnosis ... #summary #biopsy
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... Diagnosis Framework ... depression Pericarditis ... diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
to transient ST elevations ... in different ECG ... Flap #dissection #a4c ... Echocardiogram #clinical #cardiology ... #pocus
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
SC from first break ... Diagnosis? ... getting 12 lead ECG ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... tachycardia • Pericarditis ... Valvular disease (e.g ... #Differential #
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
• Malignancy (e.g ... Endocrine disorders (e.g ... • Asymptomatic pericarditis ... Cytopenias • Cardiac valve ... SLE • Kidney biopsy