15 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Lung POCUS shows ... partially seen shred sign ... Lung POCUS invaluable ... NOT definitively diagnose
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram ... #clinical #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
LBBB, LAFB - RAD ... 360 ms: ↑ca - Long ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
failure with Reduced Ejection ... : weight gain, lung ... HFrEF may lack lung ... Other: Electrocardiogram ... #management #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
., long QT syndrome ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment ... #differential #cardiology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... of the steroid treatment ... Treatment of GCA ... day, followed by long ... GCA #Temporal #Signs