20 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... and ventricles contract ... to JV when RA contracts ... are enough to diagnose ... PhysicalExam #JVP #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... High rate in <1 ... Serial EKGS in pts ... Electrocardiogram #Diagnosis ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Pathologic Q - 1/ ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Ischemia #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
Polo Mint Sign on ... surrounded by a rim contrast ... #Polo #Mint #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... 1. ... #cardiology #clinical ... #echocardiogram ... #s4c #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... , 88% spec • Contrast-enhanced ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
• ElA ratio << 1 ... Differentiating #PAH #PVH #Echocardiogram ... #comparison #diagnosis ... #cardiology #pulmonary ... #arterial #venous