11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
History and Exam Acute ... life-threatening causes ... • Pulmonary embolism ... : • EKG • Bedside ... ultrasound • CXR
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... findings in acute ... evaluating for other causes ... #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... ischemic changes CXR ... • Pulmonary embolism
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
confirm reservoir bag ... blood gas, 12-lead ECG ... o Circulatory embolus ... Airway #Pressure #Differential ... Diagnosis #Management #Workup
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Culture Positive: • Acute ... cause injury by ... ↑ ESR, CRP • EKG ... #Endocarditis #Differential
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
using reservoir bag ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist #Differential ... Diagnosis #Management #Workup
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... complex Pulmonary Embolism ... voltage Other Causes ... #ecg #ekg #electrocardiogram