16 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical stenosis ... anterior wall MI ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Lumbar Neural Foraminal Stenosis Grading 
  - Normal - No fat effacement, Keyhole appearance
Neural Foraminal Stenosis ... Lumbar #Spinal #Stenosis ... Foraminal #Diagnosis #Radiology ... #MSK #MRI
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
Central Canal Stenosis ... Central #Spinal #Stenosis ... Classification #Diagnosis #Radiology ... #MSK #MRI
Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
 - Normal - No
Neural Foraminal Stenosis ... Central Canal Stenosis ... Neural Foraminal Stenosis ... Classification #Diagnosis #Radiology ... #MSK #MRI
Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. 
Lumbar Central
Lumbar stenosis ... implement consistent radiology ... Central Canal Stenosis ... Foraminal #Diagnosis #Radiology ... #MSK #MRI
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... segments, usually best ... seen in acute MI ... #Pericarditis #EKG ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... no pain - LAD stenosis ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... Short QT <300-360 ms ... Mg, congenital, MI ... #EKG #diagnosis ... electrocardiogram #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... treatment for acute MI ... Nephrotoxins (e.g ... #HeartFailure #Cardiology