9 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... period without chest ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Subtrochanteric Femur Fracture: Pathogenesis and clinical findings
 • Subtrochanteric region spans 5 cm distally from the
Pathogenesis and clinical findings ... to the femur ( e.g ... Femur #Fractures #msk ... #orthopedics #diagnosis ... differential #causes #pathophysiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Ask about: - Changes ... - History - EKG ... findings - Age ... ACS #Evaluation #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... echo/angiogram findings ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... accompanied by chest ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Sister had MI in ... Differential/diagnosis ... #EKG #Electrocardiogram ... #clinical #cardiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
survival is 93-95% Pathophysiology ... (e.g. incidental ... CXR finding) ... dyspnea, cough, chest ... anterior/posterior MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... Intraabdominal - Orthopedic ... stratification #diagnosis