22 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #McConnells #sign
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... • ECG: Bad block ... Connect ECG Leads ... #differential #
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... (e.g. ankylosing ... spondyloarthritis (e.g ... Diagnosis #causes ... #primarycare #table
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
brainstem syndromes (e.g ... disturbances, facial ... AQP4-lgG disease; e.g ... Manifestations #diagnosis ... neurology #symptoms #signs
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Symptoms: • Chest pain ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... ’s called Frog sign ... #Neck #Frog #Sign
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... hypertension (eg ... hypertension and signs ... hypertension (eg ... renal bruit or signs