17 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #McConnells #sign
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
she declines any chest ... shortness of breath ,fever ... s the clinical sign ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
stick taped to the chest ... Impulse #S4 #Gallop #PhysicalExam ... #Video #Signs # ... Cardiology #NEJM
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... 10% above this level ... bradycardia #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... Awaves #AVNRT #PhysicalExam ... #Neck #Frog #Sign
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... Other: Electrocardiogram
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management