12 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... Elevations - ACUTE ... STEMI - PULMONARY ... HYPERKALEMIA - TAKOTSUBO ... Diagnosis #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... STEMI on EKG: ... check the echo! ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Biomarkers + ECG or echo ... women • DDx: Acute ... STEMI, Aortic dissection ... Miss Signs of Ischemia ... #STEMI #Equivalents
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #Echocardiogram ... A4c #clinical #cardiology
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Echocardiographic Findings of Acute ... Regurgitation - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... #Ventricular #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... deviation) • Acute ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... " c/w acute right ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... depression Takotsubo ... QRS complex Pulmonary ... aortic dissection ... #diagnosis #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... strain related to pulmonary ... #POCUS #Echocardiogram ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... cultures • 2D Echo ... #management #cardiology