51 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... symptoms + supporting ... Wave in V1 • Shift ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... • Increased EC ... shift of K (Succinylcholine ... #differential # ... diagnosis #pathophysiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... chest infiltrate (e.g ... Inflammation (e.g ... leukocytosis, left-shift ... symptoms (e.g.,
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #clinical #cardiology
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... • Indolent symptoms ... • Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical
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 ... thread for POCUS Pulmonary ... Echocardiogram #A4c #clinical
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... Diagnosis Algorithm ... Liver Failure • Hypercalcemia ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... - Differential ... Diagnosis Algorithm ... • Cell Lysis (e.g
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Diagnosis Framework ... NCPE Pathophysiology ... level <100 pg/ml EKG ... #diagnosis #cardiology