13 results
Pulmonary Embolism on POCUS Echocardiogram

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

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... from acute right ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... rapid cannon a waves ... excludes other differentials ... that’s called “clinical ... Hussainch #Cannon #Awaves
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... indistinguishable from ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... diagnosis #cardiology #ecg
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
De Winter's T Waves ... - Acute Sign of ... LAD Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
De Winter's T Waves ... - Acute Sign of ... LAD Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wave Inversion ... threatening T wave ... Specific for critical ... angina; but T wave ... as they result from
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Differential/diagnosis ... Patient has t-wave ... #Embolism #ECG ... #clinical #cardiology