19 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... in relation to ECG ... leads) RV Ischemia ... #diagnosis #cardiology ... #electrocardiogram
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... inflammation (e.g ... - Thrombus / Embolism ... hypovolemia), Meds ... #Diagnosis #algorithm
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
repolarization Myocardial ischemia ... Differential #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Constant Pain (Ischemia ... (e.g. ... (e.g. fractured ... Mycotic Aneurysm (e.g ... #Orthopedics #Causes
Causes of Congenital Anomalies - Differential Diagnosis Algorithm
Malformation
 • Embryonic development failure or inadequacy (often multifactorial)
Deformation
Causes of Congenital ... normal tissue (e.g ... . ischemia) Association ... • Association (e.g ... #Causes #Peds #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... Cardioembolic: • ECG ... No major-risk embolic ... Ruled out other causes ... workup #diagnosis #checklist
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... /ischemic insult ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology