49 results
S1Q3T3 on ECG in a patient with Acute Pulmonary Embolism

- Dr. Sarah Medeiros @DrSarahEM

#S1Q3T3 #Pulmonary #Embolism
a patient with Acute ... Pulmonary Embolism ... DrSarahEM #S1Q3T3 #Pulmonary ... #Embolism #AcutePE ... #Clinical #ECG
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
patient with an acute ... pulmonary embolism ... in V1 - V4 #Clinical ... pulmonaryembolism #AcutePE ... criticalcare #cardiology #ECG
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential Diagnosis ... (Ischemia) - Acute ... Infective Endocarditis ... Syndrome, Infective Endocarditis ... #Differential #Diagnosis
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
of Acute RV Failure ... of RV Failure [e.g ... Acute Myocardial ... involving RV, Pulmonary ... Embolism] • Evaluate
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ ESR, CRP • EKG ... #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Causes of Fever CRITICAL ... Acute myocardial ... infarction - Pulmonary ... embolism or infarction ... Thyroid storm - Acute
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
History and Exam Acute ... life-threatening causes: • Acute ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Hypertension, CKD/ESRD Acute ... cardiomyopathy, Acute ... illness, Sepsis, Pulmonary ... embolism Acute ... myocardial infarction: Acute