25 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... #EKG #Pulmonary ... #diagnosis #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... A4c #clinical #cardiology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... embolus SHUNT ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... #Diagnosis #pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... embolism • Re-expansion ... #diagnosis #cardiology
Lung Nodule - Differential Diagnosis Algorithm
Nodule on > 2 Years Without a Change in Size:
 •
Diagnosis Algorithm ... Benign Neoplasm (eg ... cannonball lesions"; Eg ... Tuberculosis • Septic Embolism ... #Causes #Pulmonary
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #differential
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause