14 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
sign of Left Main occlusion ... aVR is a good ECG ... sign of left main occlusion ... #Clinical #EM #IM ... #Cardiology #EKG
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
catheterization (PAC ... may benefit from PAC ... cardiogenic shock (eg ... indices measured on PAC ... pulmonary artery occlusion
Torsades, STEMI with LAD Occlusion and PCI

Truly remarkable case.
 
🚑😵Arrest➡️Mg+⚡️➡️😧awake➡️cath lab➡️100% LAD➡️🙏👍🏻❤️

- Dr. Edward Lew
@elewMD

#Torsades #LADOcclusion
STEMI with LAD Occlusion ... and PCI Truly ... LADOcclusion #STEMI #PCI ... Electrocardiogram #ECG ... #EKG #Clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... predicted Left main occlusion ... taken for Primary PCI
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... Angiography & PCI
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
inflammation (eg ... been reported (eg ... AIH-PBC Overlap ... Histologic Findings - Exclusion ... of Hepatitis (eg
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
• Autoimmune: Inclusion ... Work Up: • Chem ... electromyographic (EMG ... polymyositis, inclusion
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
therapy (MET): e.g ... , Anuria - PCN ... +/- Stent: < 2 cm ... involvement: eyes, TFT, ECG
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
www.ncbi.nlm.nih.gov/pmc ... 500 mL in a 70 kg ... www.ncbi.nlm.nih.gov/pmc ... www.ncbi.nlm.nih.gov/pmc ... In conclusion, prolonged