13 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Less Specific Signs ... → no signs of CXR ... diagnosis #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... can't make A-OK sign ... recommendations MH/CCF ... Dislocation #Posterior #Radiology ... #Orthopedics #Sports
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... in avL - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... anteroseptal and inferior ... (Eiffel Tower sign ... #diagnosis #cardiology
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... Notice that the inferior ... has changed in position ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema