46 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... cardionerds #EKG ... #EKG #Pulmonary ... #diagnosis #cardiology
Pulmonary Embolism on ECG 

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

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... Differential Diagnosis ... Dissection • Pulmonary ... Embolism • Pneumothorax ... diagnosis #table
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound
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 #
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential ... (e.g. ... (e.g. fractured ... Mycotic Aneurysm (e.g ... #Orthopedics #Causes
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... pathology (e.g. ... SSRIs) Severe pain ... #Diagnosis #Table ... #Causes #Sodium
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Infarction • Stable ... Embolism (chest ... pain often not