Electrical clinical

Electrical Alternans demonstrated in Pericardial Effusion (Swinging Heart)

- HeartToProve @HeartToProve

#Electrical #Alternans #Clinical #POCUS #Echocardiogram #Pericardial #Effusion

Electrical Alternans ... HeartToProve #Electrical ... #Alternans #Clinical

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Cardiac MRI Demonstrating Electrical Alternans in Pericardial Effusion

Dr Prasad Jain @DrPrasadJain

#Pericardial #Effusion #Cardiac #MRI #Cine #CMRI

Demonstrating Electrical ... MRI #Cine #CMRI #Electrical ... #Alternans #clinical

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Swinging Heart within a Large Pericardial Effusion on Cardiac MRI - Electrical Alternans Visualized

Prasad Jain, MD

Cardiac MRI - Electrical ... Pericardial #Effusion #Electrical ... CardiacMRI #CMRI #clinical

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Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint

Electrical Alternans ... with a hint of electrical ... MetroHealth_EM #Electrical ... Echocardiogram #clinical

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Cardiac Tamponade

#Clinical #POCUS #Echocardiogram #Cardiac #Tamponade #Pericardial #Effusion #Electrical #Alternans

Cardiac Tamponade #Clinical ... Pericardial #Effusion #Electrical

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Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary

Lightning Strike Electrical ... Ground current ELECTRICAL ... Electric Arc- associated ... Lightning #Strike #Electrical ... #Injury #clinical

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Pericardial Effusion on EKG
• Electrical alternans
• Low voltage
• Sinus tachycardia (suggests possibility of

Effusion on EKG • Electrical ... cardiology #diagnosis #clinical

Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,

swinging heart of electrical ... Cardiac #tamponade #electrical ... Echocardiogram #PSAX #clinical

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Electrical alternans from a swinging heart in pre tamponade.

Echo from same patient: https://www.grepmed.com/images/4744

- Brian

Electrical alternans ... MD @bkolskk #Electrical ... Electrocardiogram #Clinical

Large Pericardial Effusion on POCUS

Good example of swinging heart in pre tamponade. Reason for electrical

Reason for electrical ... Effusion #swinging #electrical ... Echocardiogram #A4C #Clinical

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Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper

from improper electrical ... #Clinical #MedStudent

Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
• All AV nodal

threshold for electrical ... PreExcitation #clinical

Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,

Electrocution Electrical ... Electric Arc- associated ... a low-voltage electrical ... Electrocution #Electrical ... #Injury #clinical

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Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical

Notice subtle electrical ... PericardialEffusion #Clinical

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Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer

Echocardiogram #malignant #clinical ... cardiology #pocus #a4c #electrical

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Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer

Echocardiogram #malignant #clinical ... cardiology #pocus #S4C #electrical

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Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic

Echocardiogram #malignant #clinical ... #PLAX #MMode #electrical

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Ventricular fibrillation (V-fib or VF) is when the heart quivers instead of pumps due to disorganized

to disorganized electrical ... #Clinical #MedStudent

Diagnosis and Treatment of Common Causes of Pulseless Electrical Activity (PEA)

#Pulseless #Electrical #Activity #PEA #Differential #Diagnosis

Causes of Pulseless Electrical ... #Pulseless #Electrical

Ventricular tachycardia (V-tach or VT) is a type of regular and fast heart rate that arises

from improper electrical ... #Clinical #MedStudent

Hand Flapping of Asterixis on Physical Exam

70-year-old man, renal transplant, attending hospitalization for acute rejection

hiatus of the electrical ... This lapse in electrical ... PhysicalExam #Hand #Clinical

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Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
• Trauma:
- Immobilization
- Crush injury
- Compartment

Compartment syndrome - Electrical ... Dermatomyositis Clinical

Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that

disorders of the electrical ... abnormal accessory electrical ... Electrical signals

Evaluation of Electrical Injury in the Emergency Department

Common Injuries by System:

CNS - Seizure, coma, spinal

Evaluation of Electrical ... hemotympanum #Electrical

Algorithm for bradycardic peri-arrest
- Bradycardiac peri-arrest may be loosely defined as severe bradycardia with

” of therapy: electrical ... to medical or electrical

Meige Syndrome on Physical Exam

Meige syndrome is a rare form of dystonia, a nervous system disorder

similar to an electric ... #PhysicalExam #clinical

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Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies

Ventricular Tachycardia Electrical ... Unstable • Electrical

$Management of Medically Refractory Gastroparesis Gastroparesis Pathophysiology Initial Evaluation Management Medications for Medically Refractory Gastroparesis Gastric Electrical Stimulation Pylorus Directed Therapies Dr. Chaitanya$

Gastroparesis Gastric Electrical

Wolff-Parkinson White
Preexcitation syndrome where an accessory pathway (Bundle of Kent) directly connects the atria
and

ventricles allowing electrical

Pericardial Tamponade
Beck's Triad
1. Hypotension
2. Jugular venous distension
3. Muffled heart sounds
Patient will be

low voltage QRS, electrical

injuries after an electric

A junctional escape beat is a delayed heartbeat originating not from the atrium but from an

occur when the electrical ... #Clinical #MedStudent

Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
• Serotonin Syndrome:
- Autonomic Hyperactivity:

zaps" (Radiating electrical

Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
• Acquired structural heart disease: CAD, Most

dysplasia Primary Electrical

Valvulopathy • Electrical

Cardiac conducting system
- Sinoatrial (SA) node normally generates the action potential, i.e. the electrical

potential, i.e. the electrical ... transmission of electrical

Overall schema for resuscitation of the bradycardic periarresting patient
A patient with bradycardic periarrest may be rescued

epinephrine) or electrical

Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +

algorithm #pulseless #electrical

Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
- Structural

Cardiomyopathy - Electrical

Limb Lead Reversal
In order to understand why the leads look the way they do, we must

their view of the electrical

degree view of the electrical

Compartment syndrome, Electrical

Inconsistent electrical

Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
• Valvular heart

structural and electrical ... control (chemical/electrical

Common pediatric rashes you see in clinic. How to differentiate them? Name that rash.

#pediatrics #peds #rashes

rashes you see in clinic ... #peds #rashes #clinical

Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth

help; consider electrical

Dengue Illness - Clinical Course of the Disease - Febrile, Critical, Recovery phases
• Days of

Dengue Illness - Clinical ... Disease - Febrile, Critical ... • Potential clinical

Nerves - Anatomy, Clinical

Anatomy Labeled #Clinical

Clinical Presentation of Conditions That Mimic Cellulitis and True Cellulitis

- Deep Vein Thrombosis
-

Clinical Presentation ... #Diagnosis #Clinical

complications and clinical

Diagnosis and Clinical

Clinical Examination

Causes of Myocarditis
1. Infectious Myocarditis
• Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium

agents - Radiation, Electric

Acute Pericarditis - EKG Changes

EKG Progression and Symptoms

#Acute #Pericarditis #Changes #EKG #ECG #Electrocardiogram #Diagnosis #Cardiology #Clinical

Diagnosis #Cardiology #Clinical

Central Retinal Vein Occlusion (CRVO)
Clinical:
• Sudden, painless, monocular loss of vision
• "Blood and

Occlusion (CRVO) Clinical ... CRVO #Diagnosis #Clinical

Causes of upper gastrointestinal bleeding - An Illustrated Differential Diagnosis

#Diagnosis #Differential #UpperGI #Bleeding #Diagram #Causes

** GrepMed

Kumar and Clark's Clinical

#Terminology #Clinical

#COVID19FOAM #clinical

stenosis #timelapse #clinical

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#clinical #cardiology

ARDS #Pulmnology #clinical

Clinical Examination

Clinical Manifestations

#PhysicalExam #clinical

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Liver Failure - Clinical

#Clinical #Diagnosis

Clinical Presentation

Dermatomes and Peripheral Nerves - Segmental Innervation of the Skin and the Peripheral Nerve Supply (Anterior

Text: Hutchison's Clinical

disease #phenomenon #clinical

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Diagnosis of active multiple myeloma is not just CRAB; it's actually "SLiM CRAB" @Majorajay & @Vincentrk

#MultipleMyeloma

Hypercalcemia #Anemia #Clinical

Clinical Examination

Clinical Pharmacologic

Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case

UltrasoundJelly #Clinical

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The Dyspnea Pyramid - Differential Diagnosis for Shortness of Breath

Original Source (Jeff Wiese MD): https://www.acponline.org/system/files/documents/clinical_information/journals_publications/books/clinical-teaching-scripts-for-inpatient-medicine.pdf

#Diagnosis #Dyspnea

journals_publications/books/clinical-teaching-scripts-for-inpatient-medicine.pdf

A serious case of Flail chest. This is a medical emergency!

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern

Trauma #Video #Clinical

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Here are the morphological hallmarks of Rhabdomyosarcoma.

- Broken arrow sign

- tad-pole rhabdomyoblasts

Pathology #Microscopy #Clinical

in children – clinical

Nail diseases and disorders.
- Spoon Nails (Koilonychia)
- Pitting of Nails
- Beau's Lines
-

Leukonychia #Table #Clinical

Table #Diagnosis #Clinical

Kussmaul's Sign in Constrictive Pericarditis on Physical Exam

- Susan Joseph MD @SusanJosephMD

#Kussmauls #Sign #Pericarditis #physicalexam #clinical

#physicalexam #clinical

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NIH NHLBI ARDS Clinical

Serotonin #Syndrome #Clinical

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Kidney Disease - Clinical

Common ultrasound abnormalities seen on kidney and urinary bladder POCUS

- Dr. Abhilash Koratala MD - NephroPOCUS

ultrasound #renal #clinical

#PhysicalExam #clinical

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Myocarditis
Diagnosis
• Endomyocardial biopsy (gold standard, rarely performed)
• Clinical presentation
• Cardiovascular MRI
Clinical
•

performed) • Clinical ... Cardiovascular MRI Clinical

Clinical Examination

$Hypertrophic Cardiomyopathy ECG and Clinical Features #HOCM #Hypertrophic #Cardiomyopathy #Diagnosis #Management #Cardiology$

Cardiomyopathy ECG and Clinical

Abnormal liver function tests algorithm.
This figure details the initial response to abnormal liver blood tests.

evaluation of the clinical ... /or suspicious clinical ... the remainder, a clinical ... elevation and clinical

#diagnosis #clinical

Beta blocker Conversion Table- Carvedilol, Metoprolol and Bisoprolol Equivalents
Converting between Beta-Blockers: Carvedilol, Metoprolol and Bisoprolol

#Pharmacology #Cardiology

Recommended Text: Clinical

ABC's of POCUS
Forming the platform for my CCS2018 talk, ‘POCUS on ITU’! My infographic on the

#ABCs #ABCDEs #clinical

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It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a

just simply a clinical ... range of possible clinical ... determined based on two clinical ... balance and are clinically ... criticalcare #icu #clinical