31 results
Approach to determining the cause of a blood clot
1) Is it acquired?
2) Should you consider inheritable
determining the cause ... consider inheritable causes ... BloodClot #Thrombosis #DVT ... #VTE #diagnosis ... #causes #workup
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
Tachycardia - ECG ... Definition and Causes ... Ventricular Tachycardia (VT ... Supraventricular tachycardia (SVT ... #ecg #electrocardiogram
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... • Monomorphic VT ... • Polymorphic VT ... Differential #Diagnosis #Algorithm ... #causes
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism (VTE ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
/ Breakthrough DVT ... Structural - Pelvic masses ... Breakthrough #Recurrent #DVT ... #VTE #anticoagulation ... #differential #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 100 Wide (1) VT ... w/ BBB (3) SVT ... 200ms from longer pause ... bradyarrhythmia #ECG
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
, no extensive workup ... EtOH - Infectious workup ... blood cultures - ECG ... antibodies #Diagnosis #EM ... #Differential #Algorithm
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... If yes, then VT. ... If yes, then VT. ... If yes, then VT. ... If no, then VT.
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT