28 results
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
electrocardiogram showed ... Cardiology #EM #EKG ... Hyperkalemia #PeakedT #NEJM
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
120ms, Dominant S ... wave in V1 (deep S ... l, V5-V6, ("M-shaped ... c) STE / S ... Diagnosis #Checklist #EKG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram Mid 30's ... Triage EKG (no prior ... MI in early 40's. ... Differential/diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation: Differential ... aVR • Classic EKG ... arrhythmia: - R/S ... electrocardiogram #diagnosis #ekg ... #differential #
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
widening/prolonged S ... Syncope #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Hypocalcemia - Differential Diagnosis Algorithm - Low and High PTH
LOW PTH - Hypoparathyroid
 - Congenital (Pediatric)
Hypocalcemia - Differential ... Pediatric) • Ca-S-R ... Vit-D degradation (eg ... hyperphosphatemia (eg ... #Hypocalcemia #Differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... with big R or R/S> ... inferior MI - R/S ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... in V1/V2 with R/S ... the preceding S-wave ... #EKG #diagnosis ... #differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: Acute: • S. ... Aureus • S. ... Subacute: • S. ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Adrenal Mass - Differential ... minutes), Irregular Shape ... Releasing Carcinoma (e.g ... Other Source (e.g ... AdrenalMass #Malignant #Differential