23 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 ... Echocardiogram #A4c
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
Chest pain after ... AFib ablation. ... the most likely diagnosis ... Clinical #Cardiology #EKG ... #ECG #Pericarditis
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
CARDIAC: asytole or Vfib ... most common is Afib ... EKG, labs, cardiac ... severe burns, ECG ... Abnormal ECG or
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 #
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... #Fibrillation #VFib ... #S4C #POCUS #Echocardiogram
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... (e.g. ankylosing ... spondyloarthritis (e.g ... #Differential #
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
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