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ecg ekg electrocardiogram radiology endocarditis equivalents calciumsign chestxray clinical contusion ctchest dissection echocardiogram elevation infectiousdiseases interpretation ischemia lung management mediastinal
Mediastinal Widening - Differential Diagnosis • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Diagnosis • ... mass • Masses: Anterior ... Pericardial effusion • CXR ... #Diagnosis #pulmonary ... #radiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... and the calcium sign ... is considered a positive ... #Clinical #Diagnosis ... #Radiology #CXR
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
, Aortic dissection ... Equivalents / Don't Miss Signs ... Ischemia #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... QRS complex Pulmonary ... Post-cardioversion • Acute aortic ... #diagnosis #cardiology
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
acceleration time; Ao = aorta ... and McConnell sign ... acceleration time of pulmonary ... Transthoracic #Diagnosis ... RightVentricular #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... #Diagnosis #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... over the left anterior ... Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR
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