63 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... with possible COVID ... Nasopharyngeal PCR for COVID ... pathogens (ideally should ... echocardiogram, EKG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Should see "Appropriate ... #Checklist #EKG ... electrocardiogram #ecg
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... EKG of the same ... rapid cannon a waves ... are enough to diagnose ... JVP #Cardiology #Neck
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... - Absence of T wave ... potassium #high #diagnosis ... #management #algorithm
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Siltuximab) in COVID19 ... Tocilizumab 4-8mg/kg ... Total dose should ... Tocilizumab should ... #Pharmacology #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... should be discordant ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... , Symptoms and Management ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... #Stages #Management
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID-19 - A Seattle ... emergency 2020-3-12 Diagnosis ... bronchograms Nick ... #Cheatsheet #Diagnosis ... #Management #Summary
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Brady Management ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology