271 results
S1Q3T3 on ECG - Pulmonary Embolism Until Proven Otherwise

- Sam Ghali, M.D.
@EM_RESUS

#S1Q3T3 #ECG #EKG #Electrocardiogram #Cardiology
S1Q3T3 on ECG - ... Pulmonary Embolism ... Otherwise - Sam ... EM_RESUS #S1Q3T3 #ECG ... #EKG #Electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... cardionerds #EKG ... #EKG #Pulmonary
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... respiratory drive due to neurologic ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... , pulmonary AVMs
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Uosm < 100 mmol/kg ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Uosm < 100 mmol/kg ... Diagnosis #Algorithm #Causes
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia EKG ... case of a 50-year-old ... - Sam Ghali, M.D ... #Tachycardia #EKG ... #Cardiology #EKG
ILD of Known Cause - Differential Diagnosis
Exposure:
 • Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 • Treatment Related:
ILD of Known Cause ... Pneumonitis • Treatment ... BrighamChiefs #ILD #Causes ... lung #disease #pulmonary
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology