35 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... Ischemia #ECG #EKG #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... Electrocardiogram #Diagnosis
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... segment at (or 40-60 ms ... V2 • Wellens sign ... pain • Wellens sign ... Equivalents #ECG #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #STEMI #Segment
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... posterior fat pad ... Type I, DC with ortho ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... Thumb spica • Ortho ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Splint: Volar • Ortho ... Radiology #XRay #Diagnosis ... Orthopedics #Sports #MSK