21 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... authors state that ST ... #Clinical #EM #IM ... #STElevations #STE
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STEMI - J point STE ... myocarditis (diffuse STE ... in avL - early inferior ... a 15 lead - STE ... Ischemia #ECG #EKG #diagnosis
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Anterior dislocation ... externally rotated #Dagnosis ... #EM #Ortho #Hip ... Classification #Anterior
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
diffuse, positive, ST ... with reciprocal ST ... normalization of ST ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Upsloping convex STE ... Cardiomyopathy: • STE ... anteroseptal and inferior ... #differential #diagnosis
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... hemolytic-uremic syndrome (ST-HUS ... solid organ or stem ... Catastrophic APLS BCM IM ... #differential #diagnosis
A good approach when dealing with hypotension at the bedside includes using the following systematic four
systematic four step ... Vascular Resistance #Diagnosis ... #Management #EM ... #IM #PCC #Hypotensive
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... and upsloping ST ... often with 1-2 mm ST ... criterion 1 - ST ... Equivalents #ECG #EKG #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... Electrocardiogram #Diagnosis
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- 2% of left anterior ... STEMI - look for ST ... waves - Upsloping ST ... segment - ST depression ... Electrocardiogram #diagnosis