55 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... symptoms + supporting ... in relation to ECG ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... , Signs, Symptoms ... despite hx HTN) EKG ... Amyloidosis #Cardiac #Diagnosis ... #Symptoms #Cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
(i.e. entirely positive ... - Brugada's sign ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... • Indolent symptoms ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical
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 ... A4c #clinical #cardiology ... #McConnells #sign
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Interpretation Checklist ... compare hilum position ... cervical rib Check lung ... #radiology #diagnosis ... #pulmonary
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Algorithm Symptoms ... quadrant discomfort Signs ... autoimmune disease (e.g ... Positive AMA or ... specific ANAs (e.g