8 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... Wong @mchlwng #Approach ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
of UMN and LMN signs ... EMG: LMN Signs in ... MRI: Brain, cervical ... and thoracic spine ... Multidisciplinary approach
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Framework Approach ... disorder (Cardiac, pulmonary ... Lack of UMN/LMN signs ... electromyographic (EMG ... ) studies • MRI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... Pacing: - Pacing spike ... QRS complex Pulmonary ... #cardiology #ecg ... #ekg #electrocardiogram
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... artery #catheter #diagnosis ... #cardiology #swanganz
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Intraabdominal - Orthopedic ... one post op Cardiology ... stratification #diagnosis