13 results
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
stage 1 - diffuse, positive ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... ASA, Kussmaul's sign ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Hypovolemic shock • Constrictive ... Pericarditis ... Abnormalities #Disorders #Cardiology ... #Differential #Diagnosis
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was referred to cardiology ... and Kussmaul’s sign ... #clinical #cardiology ... #a4c
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... on POCUS Echocardiogram ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... pericarditis. ... where we may see a positive ... #cardiology #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... tachycardia • Pericarditis ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Libman Sacks) • Atrial ... Blood cultures are positive ... ↑ ESR, CRP • EKG ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... depression Pericarditis ... Post-cardioversion • Acute aortic ... #cardiology #ecg