18 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
rapidly over a short ... that results in injury ... in transmural injury ... #Diagnosis #Cardiology ... : The Only EKG Book
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... catheterization #cardiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Fracture of proximal ulnar ... syndrome, ligamentous injury ... DC with orthopedic ... #Radiology #XRay ... Diagnosis #Management #Orthopedics
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... distal radius or ulna ... Discharge with orthopedic ... Wrist #Carpal #Radiology ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
), ligamentous injury ... brachial artery injury ... Complex, pending orthopedic ... Dislocation #Posterior #Radiology ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... Disposition: Pending orthopedic ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... follow-up with orthopedics ... Scaphoid #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... is transmural injury ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical