13 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Secondary to chronic lung ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
on POCUS Echocardiogram ... Diagnosis? ... Management? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... AV block 1º - long ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... root, and left atrium ... Michael Macias, EM ... #Radiology #POCUS
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... Splint: Posterior long ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
syndrome • ED Management ... Splint: Posterior long ... MH/CCF/CWRU EM ... #Humerus #Radiology ... #XRay #Diagnosis
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... Splint: Posterior long ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... - MH/CCF/CWRU EM ... #clinical #ultrasound ... #trauma #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology