12 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... x 1 hour, Ant/Sept ... STEMI on EKG. ... #POCUS #Echocardiogram ... PSAX #Clinical #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Artery Thrombus ... Anterior wall STEMI ... Cardiogenic shock, ECG ... from LMCA into aortic ... CathLab #clinical #cardiology
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
Intimal Flap on Echocardiogram ... elevations in different ECG ... Flap #dissection #a4c ... #plax #Echocardiogram ... #clinical #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... STEMI on EKG ... #TypeA #Aortic ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... • Epicardial artery ... Post-cardioversion • Acute aortic ... #ecg #ekg #electrocardiogram
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... o infection • Echocardiogram ... increased DLCO after ... recent DAN) • EMG ... seen on chest CT
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... block, annular or aortic