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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
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
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... #Clinical #EM #Cardiology
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
Doge Cap Sign on Abdominal X-Ray aka Morrison Pouch Sign
Triangular shaped lucency below the 11th rib
Doge Cap Sign on ... Morrison Pouch Sign ... The doge cap sign ... resembles the headgear sported ... kub #clinical #radiology
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
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
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