29 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
CT scan, if suspect ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical
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Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... intolerance • Chest ... gallop • Abnormal ECG
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Pain • ECG: Bad ... Connect ECG Leads ... #bradycardia #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... CT Lung Abscess ... shows a small, stable ... • Vasculitis (e.g
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary #Embolism #ECG ... #clinical #cardiology