51 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
• Ventricular fibrillation ... Clinical • ... Osborn #JWave #Diagnosis ... Differential #Cardiology #EKG ... #ECG #Hypothermia
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... prolonged PR and QT ... L, ventricular fibrillation ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis ... Electrocardiogram #ECG ... #Clinical
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... context & EKG)
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Clinicoradiological Findings → Clinical ... biopsy) e.g. ... and/or cytology (e.g ... of alternative causes ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Workup
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
but nonspecific ECG ... WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... • Diagnostic ... Intraoperative #Checklist ... #Workup