12 results
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Pain (<72 hours ... • Mesenteric ischemia ... Metabolic disease (e.g ... #Abdominal #Pain
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... GPA, IgA, MPA) Acute ... inflammation (e.g ... #Mesenteric #Ischemia ... #Diagnosis #algorithm
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... ER with chest pain ... Recognize this #ECG ... InferoPosterior transmural ischemia ... #EKG #STEMI #InferoPosterior
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
(Ischemia) - ... Acute Onset - ... Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... #ECG #EKG #diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... predictor of recurrent ischemic ... aVR • Classic EKG ... #AVR #leadAVR #ecg
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
pain. ... ECG: AF. ... ischemia in right ... territories: mesenteric ischemia ... right MCA and ischemia
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... Initiative #Management #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ... ischemia in LVH ... #Equivalents #ECG ... #EKG #diagnosis
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Pseudo-obstruction Acute ... Medical Conditions (e.g ... Infectious • Ischemic ... Neuropathic • Enteric (e.g ... • Extrinsic (e.g