23 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
on POCUS (PLAX ... Non-ischemic EKG ... What's the Diagnosis ... #Aortic #Aorta ... Clinical #Ultrasound #POCUS
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... At times, the direction ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
positive to negative direction ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... tissue disorder e.g ... • Aortic valve ... blood pressure: e.g
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... - Differential Diagnosis ... Acute Prosthetic Valve ... Valvuoplasty • Aorta ... #Causes #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Type A Aortic Dissection ... on POCUS Echocardiogram ... STEMI on EKG ... #cardiology #clinical
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Cannon A Waves • Caused ... closed tricuspid valve ... activation from SVT (e.g ... Cannon #AWaves #diagnosis ... #cardiology #CVP
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
spondyloarthritis (e.g ... spondyloarthritis (e.g ... Referred Pain: • Aorta ... : Dissection, Aneurysm ... #causes #primarycare
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Pulmonary #Embolism #ECG
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... production to cause ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis