13 results
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ... ECG machine. ❷ ... Obtain a 12-lead ... consultation with cardiology ... Diagnosis #Management #Workup
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
skin lesions, LAD ... and hepatomegaly/splenomegaly ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
different P waves in lead ... 200ms from longer pause ... bradyarrhythmia #ECG ... electrocardiogram #cardiology ... #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

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

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... plus inferior leads ... seen in 34% of cases ... Pulmonary #Embolism #ECG ... #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 ... gastric contents • Head ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
occlusion that may lead ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Physical exam • 12-lead ... ECG • Limited ... #Palpitations #Cardiology ... #Differential #