11 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... leads) RV Ischemia ... #EKG #Pulmonary ... #diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... embolism • Re-expansion ... #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG
Acute and Critical Limb Ischemia
Critical Limb Ischemia (CLI):
 • Severe form of PAD that includes limb
11% of all PAD cases ... Acute Limb Ischemia ... peripheral artery or bypass ... broadly divided into embolism ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... o Cardiac ischaemia ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... QRS complex Pulmonary ... Embolism: • T-wave ... #cardiology #ecg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... Obtain EKG if: ... VITAMINS/supplements ... stratification #diagnosis