116 results
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... features of the EKG ... Diagnosis #Cardiology #EKG ... #ECG #STElevation ... #STSegment #Differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... • ↑ Ca - short QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Hemopericardium)- Differential ... • Malignancy (e.g ... #Pericardial #Effusion ... Hemopericardium #Differential
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... family history) Treatment ... abnormalities - Avoid QTc ... post-arrest or very long QTc
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Failure #hypoxia #Differential
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... that prolong the QT ... Diagnosis #Cardiology #ECG ... #EKG
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... :1 , 3:2, 4:3, etc ... - , 3:1, 4:1, etc ... bradyarrhythmia #ECG ... electrocardiogram #cardiology #differential
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Drugs that prolong QT ... Congenital long QT ... Hypocalcemia (rarely) Treatment ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation: Differential ... widened QRS and QTc ... #AVR #leadAVR #ecg ... #differential #