14 results
Localization of MI by ECG Leads #Diagnosis #EM #IM #Cardiology #EKG #Localization #Leads
Localization of MI ... by ECG Leads #Diagnosis ... #EM #IM #Cardiology ... #EKG #Localization
Criteria for LBBB RBBB LAFB LPFB #Diagnosis #EM #IM #Cardiology #EKG #RBBB #LBBB #Criteria #LAFB #LPFB
Criteria for LBBB ... LPFB #Diagnosis #EM ... #IM #Cardiology ... #EKG #RBBB #LBBB ... #Criteria #LAFB
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
conditions: - Acute MI ... Differentiating VT from ... using the Vereckei criteria ... better than Brugada criteria ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Fusion: odd QRS from ... different QRS from ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Right to Left from ... coronary embolus (CE ... venous origin of CE ... TTE, TEE, CT or MRI ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... • Sgarbossa criterion ... indistinguishable from ... #EKG #diagnosis ... #differential #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology
The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
indicative of acute MI ... #Diagnosis #EM ... #Cardiology #Modified ... #Sgarbossa #Criteria
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
) + (5 x Ht cm) ... VENTILATOR INTUBATION CRITERIA ... 70 mmHg on 100% mask ... < -25 cmH20 A from ... EXTUBATION CRITERIA