9 results
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Size Ratio - Abnormal ... Elevated Pulmonary Artery ... #diagnosis #Right ... #Ventricular #cardiology ... #POCUS
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... • Epicardial artery ... ST Elevation of Normal ... #diagnosis #cardiology
Aortic Root Sign

The aortic root sign an anomalous circumflex coronary artery (ACCA) that emerges from the
circumflex coronary artery ... coronary sinus. and travels ... underneath the aorta ... supply blood to its normal ... #cardiology #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... J point • De Winter ... Equivalents #ECG #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
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 V1 - normal ... Ischemia #ECG #EKG #diagnosis ... Interpretation #differential
PA view
On the PA chest-film it is important to examine all the areas where the lung
for instance the right ... the silhouette sign ... elongation of the aorta ... #Clinical #Anatomy ... #Radiology #CXR
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Weight loss • Night ... purpura: Strong sign ... < 30 years • Aorta ... Arteritis): • Aorta ... strength & enzymes normal
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
< 30 years - Aorta ... branches • GCA: - Aorta ... Superficial temporal artery ... - Recurrent oral ... purpura: strong sign
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... a chest x-ray (CXR ... defaulting to a normal ... not seen on a CXR