14 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... angina; but T wave changes ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #RadiologyAssistant
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 ... Activate cath lab ... A4c #clinical #cardiology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
old on day ≥7 of fever ... function, mitral regurgitation ... signs (CRP, ESR ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... with ST segment changes ... on tele/ECG that ... tests in cath lab ... Prinzmetal #Angina #cardiology
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
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... mild (malaise, fever ... Romana's sign ... 20-90%, normal ECG ... , weight loss, regurgitation
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
calcification: Age-related changes ... Direct/indirect chest ... MR from dilated LA ... #Differential #Diagnosis ... #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
tinnitus, visual changes ... - 80% have fever ... signs of end organ ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 • Fever (>38C)
 • Hypothermia (<36C)
 • Cough/chest pain/respiratory distress
 •
Pediatrics Sepsis ... • Fever (>38C) ... 36C) • Cough/chest ... • Perfusion changes ... #peds #diagnosis