25 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 ... of chest pain ECG ... leads Cardiac MRI ... Echocardiogram #Cardiology
Systolic Anterior Motion (SAM) of the Mitral Valve (MV)

Systolic anterior motion (SAM) describes the dynamic movement
Systolic Anterior ... Differential diagnosis ... * Hypertrophic cardiomyopathy ... MitralValve #MV #Cardiology ... #Clinical #POCUS
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
be a cause of anterior ... shoulder instability ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Prior anterior glenohumeral joint dislocation with Hill-Sachs fracture and Perthes lesion
Imaging Findings:
 • The arrow is
repair Differential diagnosis ... medially → CHRONIC INSTABILITY ... lesion #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... should be done on diagnosis ... #diagnosis #management ... #cardiology #treatment
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... in avL - early inferior ... MI - R/S >1 or ... #EKG #diagnosis ... electrocardiogram #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology