8 results
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
be a cause of anterior ... Differential diagnosis ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... segment at (or 40-60 ms ... leads) #STEMI #Equivalents ... #ECG #EKG #diagnosis ... #differential #cardiology
Prior anterior glenohumeral joint dislocation with Hill-Sachs fracture and Perthes lesion
Imaging Findings:
 • The arrow is
repair Differential diagnosis ... Periosteal Sleeve Avulsion ... lesion #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
infarct STEMI - J point ... or R/S>I STEMI Equivalents ... in avL - early inferior ... #EKG #diagnosis ... #STEMI #Equivalents
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 ... inversions V1-V4 plus inferior ... #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis ... #cardiology #swanganz
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
There is point tenderness ... over the left anterior ... of breath and point ... #Radiology #CTChest ... #Lung #Pulmonary