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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #EKG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... Focal findings on neurologic ... - Fever, SIRS criteria ... electrolytes, CXR, ECG ... AlteredMentalStatus #Delirium #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Diagnosis and Management ... Diagnosis - Caine Criteria ... dysfunctions ( e.g ... Cerebellar dysfunction (e.g ... #neurology #nutrition
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Radiographic findings (eg ... McDonald diagnostic criteria ... Laboratory findings (eg ... VEP’s: EEG of visual ... sclerosis #diagnosis #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... • EEG: With persistent ... Syndrome #diagnosis #management ... #neurology