15 results
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
P • ↑ Ca - short ... see below) • ↓ Ca ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Timeline for Progression of T2WI and DWI Findings in Acute Stroke
 - In the acute phase
After this it starts ... #Stroke #CVA #MRI ... #Interpretation ... Progression #Timeline #Neurology ... #Radiology #Findings
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... blood from vena cava ... #physicalexam # ... diagnosis #cardiology ... #differential #
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... intrinsic rate (start ... Start pacing. ... bradycardia #diagnosis #differential ... #management #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
<300-360 ms: ↑ca ... - Long QT: "antis ... #EKG #diagnosis ... electrocardiogram #cardiology ... #interpretation
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
it possible to differentiate ... Progression #Stroke #CVA ... #Clinical #Radiology ... #Interpretation ... #Findings #Neurology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... edema, and clear lungs ... inferior vena cava ... pocus #clinical #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
b) CHF c) CVA ... Obtain EKG if: ... Stable patients ... one post op Cardiology ... unless prior heart/lung