7 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
is considered positive ... If echo is positive ... clinical and lab signs ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Pads in AP position ... #differential # ... management #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... Splint: Posterior long ... Elbow #Humerus #Radiology ... #XRay #Diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... #differential # ... cardiology #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... #algorithm #management ... #heartfailure #chf
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... be high in the differential ... diagnostic list ... #Clinical #Radiology ... #CTChest #CHF #