15 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... in relation to ECG ... leads) RV Ischemia ... #EKG #Pulmonary
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #clinical #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... concerning for Pulmonary ... Embolism. ... #clinical #ultrasound ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... embolism • Re-expansion ... differential #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... /ischemic insult ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Cerebral > Splenic, Pulmonary ... cause injury by ... /ischemic insult ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... admission: acute ischemia ... stenosis.Simultaneous embolic ... Transesophageal #Ultrasound ... #Cardiology #Clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... Embolism: • T-wave ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram