17 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... evaluating for other causes ... leads) RV Ischemia ... AcutePE #diagnosis #cardiology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI Findings ... in Stroke MR ... ischemic lesion ... it possible to differentiate ... #CVA #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... echo/angiogram findings ... women • DDx: Acute ... of Ischemia - ... Wong @mchlwng #Ischemia
Evolution of stroke on CT and MRI. 

Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... consistent with acute ... thought to represent ischemic ... #Stroke #CVA #MRI ... #Findings #Evolution
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... Findings: • Broad ... #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... predictor of recurrent ischemic ... findings: Sinus ... #differential # ... cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... visual changes, stroke ... - ACS, AKI, acute ... limb ischemia, ... WBC >100k, + lab signs
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... #diagnosis #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Many more findings ... poor prognostic signs ... Muscle Rupture and Ischemic ... afterload • Severe ischemic ... #differential #
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention - Differential ... Dilatation Other Causes ... Pseudo-obstruction Acute ... Infectious • Ischemic ... Spinal Injury, Stroke