46 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... in aVR, a true sign ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STEMI - J point STE ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... electrocardiogram #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... #Clinical #EM #Cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
: "Pardee's sign ... (Eiffel Tower sign ... Osborne waves - Short ... inverted T waves • Short ... differential #diagnosis #cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
apple") should sit ... apple" does not sit ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Orthopedics #Sports
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
imitator" • ↓ K - ST ... long QT via long ST ... Brugada 1 - Coved STE ... delta wave and short ... Checklist #diagnosis #cardiology
Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three
Parasternal Short ... "Mercedes Benz Sign ... Aorta #mercedes #sign ... POCUS #Clinical #cardiology