10 results
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #labeled #clinical ... #labeled
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 ... #EKG #diagnosis ... #differential #cardiology
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
ECG with concerning ... Hyperacute T wave ... Echocardiogram #clinical ... #cardiology #PSAX ... #Labeled
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #cardiology #ecg
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... Patient has t-wave ... inversions V1-V4 plus inferior ... #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... over the left anterior