14 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... AV block 1º - long ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Differential Bilat ... NOT definitively diagnose ... RJonesSonoEM #BLines ... #POCUS #clinical
B-Lines in Pulmonary Fibrosis
Lung comets are usually seen in wet lungs, but do not forget that
is an important differential ... diagnosis. ... In the latter case ... be picked up by echo ... comets #tails #clinical
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
Point on POCUS ... to pleural line ... False #LungPoint #POCUS ... #clinical #lungcardiac ... #diagnosis #mimics
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... Chest X-ray - Lung ... look for focal a-lines ... - CBC with differential ... as clinically indicated
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
drainage & return lines ... or membrane lung ... drainage cannula draws ... Troubleshooting #problems #diagnosis ... #differential #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... pulmonary edema (“B-lines ... ECG is vital while ... Impella, LVAD, ECMO ... #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... cultures • 2D Echo ... ↑ ESR, CRP • EKG
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation
A-Profile - Air filled lung does not transmit sound
- A-Lines, B-Lines ... will be seen IM POCUS ... #Ultrasound #POCUS ... #Differential # ... Diagnosis #clinical