50 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 ... in relation to ECG ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Activate cath lab ... #Embolism #ECG ... #EKG #Electrocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... : • EKG • Bedside ... , PT. aPTT • Serial
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
TB • LTBI is diagnosed ... • History of BCG ... immunocompromised (e.g ... used to exclude pulmonary ... #Workup #TB #Latent
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... Activate cath lab ... Embolism #POCUS #Echocardiogram
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... surgery, trauma, active ... - No other workup ... #hematology #diagnosis
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... (Reactive): • ... Alimentary (e.g ... Critical Illness (e.g ... Hyperinsulinemic States (e.g
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... are caused by prerenal ... obstruction: • Trial ... KidneyInjury #simplified #workup
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... #diagnosis #checklist