30 results
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
- Acute Sign of ... LAD Occlusion #Diagnosis ... #Cardiology #EKG ... #ECG #DeWinters ... #TWaves
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
chest infiltrate (e.g ... ., CXR, CT, ultrasound ... Inflammation (e.g ... symptoms (e.g., ... chest pain) and signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Endemic Fungi (e.g ... - Zoonotic (e.g ... Returning travelers (e.g ... #diagnosis #pulmonary ... #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... ’s called Frog sign ... Cardiology #Neck #Frog #Sign
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... hemorrhage) - Pulmonary ... pathology (e.g. ... pneumonia, COPD
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... cardiology #McConnells #sign
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #EKG #Electrocardiogram