122 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... leads Cardiac MRI ... Cardiomyopathy #POCUS
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... - RAD: AntLat MI ... Mg, congenital, MI ... #Approach #ECG ... #EKG #diagnosis
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
interval on EKG ... The definitive treatment ... complex (QRS > ... WPW #Cardiology #ECG ... #EKG #Electrocardiogram
Second Degree AV Block Type I aka Mobitz I / Wenckebach 
 • Normal P waves.
followed by a QRS ... • As the PRI ... group-beating" on the ECG ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm

↑ TSH - Primary hypothyroidism
↑ ß-HCG - Pregnancy
↑ Creatinine
hypothyroidism ↑ ß-HCG ... renal failure MRI
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... No Treatment. ... • Treatment: ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
electrolytes, CXR, ECG ... CSF, thyroid, MRI
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
a NCCT or • MRI ... Detected on NCCT vs MRI ... Cardioembolic: • ECG ... Defined if 1) CT/MRI-confirmed