19 results
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
axis swings from positive ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
1) Transducer Position ... Imaging Plane, e.g ... Structures Visualized, e.g ... #Nomenclature #POCUS ... #cardiology #views
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... See thread for POCUS ... #Embolism #ECG ... #clinical #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Dissection on POCUS ... Echocardiogram STEMI on EKG ... - VCU Ultrasound ... Echocardiogram #cardiology ... #clinical #plax
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... Metoprolol - VCU Ultrasound ... echocardiogram #plax ... #cardiology #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
is desirable, e.g ... radiation dose Ultrasound ... scan) when an ultrasound ... stones #calculus #Radiology ... #Diagnosis