35 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... Abdominal XRay - Differential ... • infection (e.g ... #Differential # ... Diagnosis #radiology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... - CBC with differential ... clinically indicated (e.g ... . echocardiogram ... , EKG) Dr.
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
complaining of chest ... pain ECG: non ... specific TWI in chest ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS Echocardiogram ... Older male with chest ... ECG with concerning ... Abnormality #POCUS #Echocardiogram ... #clinical #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Pain • ECG: Bad ... Connect ECG Leads ... bradycardia #diagnosis #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... Diagnosis #Management #Cardiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g ... ., CXR, CT, ultrasound ... Inflammation (e.g ... Pulmonary symptoms (e.g ... pain) and signs