10 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 ... #EKG #Pulmonary ... #Embolism #AcutePE ... #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
Endocarditis Summary

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

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... cause injury by ... /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
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
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