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cardiology differential clinical ecg electrocardiogram equivalents lung pneumonia pocus stemi bilateral chf coronavirus criticalcare diagram foamed heartfailure icu interpretation management
Diagnostic approach to the admitted patient with possible COVID-19 Initial evaluation - Chest X-ray - Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... look for focal a-lines ... echocardiogram, EKG ... #algorithm #schema
COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... patients with pulmonary ... #POCUS #Diagnosis ... #Signs
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... below isoelectric line ... #ECG #EKG #diagnosis
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 ... deviation) • Acute ischemia ... #EKG #diagnosis
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... based on three lines ... ., CXR, CT, ultrasound ... chest pain) and signs ... #Pulmonolary
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... /lung sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound
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 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 ... #algorithm #management
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