11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
STEMI Equivalent - Left ... anterior descending (LAD ... ST elevation in aVR ... (>= 1 mm) 2) ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... 1. ... anterior descending (LAD ... failure, and death. 2. ... #cardiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Pathophysiology: 1. ... Inoculum 2. ... upright or lat ... #pulmonary #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... abnormalities - Cath lab
Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
(TEE) Windows 1. ... ME AV-LAX view 7 ... ME-Ascending Aorta LAX ... TG LAX view 25. ... Windows #Views #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... echocardiography - Assess ... Microbubbles appear in left ... Arterial blood gas (ABC
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... disorder (Cardiac, pulmonary ... Infectious: Brain abscess ... leukodystrophies 2. ... Anti-Ro/SSA, anti-La
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... L shunt as RAP>LAP ... septum shifts left ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
rapid-turnover” SCLC - Lab ... rise from last lab ... interventional radiology ... immediate treatment 1. ... renal failure, pulmonary