10 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... symptoms + supporting ... #EKG #Pulmonary ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... J point • De Winter ... V2 • Wellens sign ... #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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... QRS complex Pulmonary ... Embolism: • T-wave ... #cardiology #ecg ... #ekg #electrocardiogram
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... Acute toxicity (e.g ... Chronic toxicity (e.g ... gradually with symptoms ... embolism -
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... with presence of pulmonary ... ECG is vital while
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
life • M=F Symptoms ... and Signs: 50% ... and signs: • ... may present with pulmonary ... procedures (eg,
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... uncertainty (e.g ... suspected Adiunctive treatments ... other indication (e.g ... BID if <96hr of symptoms