11 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
Wolff-Parkinson-White (WPW ... pathway first - A-fib ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (4) Vfib/flutter ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
specificity for EKG ... EKG is helpful in ... evaluating for other causes ... ., A-Fib also a ... in relation to ECG
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Diagnosis Algorithm ... WPW) - Narrow ... interval) • AFib ... #Diagnosis #Algorithm ... #causes
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... • Medications (e.g ... • Alimentary (e.g ... Critical Illness (e.g ... #Diagnosis #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Male Sexual and Erectile Dysfunction - Differential Diagnosis Algorithm
Erectile Dysfunction
 - Psychological
    •
Diagnosis Algorithm ... Sympathomimetic Drugs (e.g ... Interpersonal Issues (e.g ... psycho-social trauma '(e.g ... #Diagnosis #Algorithm