16 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 ... #STElevations #STE
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology #STEMI
Cullen Sign Pancreatitis #Clinical #EM #IM #Cullen #Pancreatiis #Sign #PhysicalExam
Cullen Sign Pancreatitis ... #Clinical #EM # ... IM #Cullen #Pancreatiis ... #Sign #PhysicalExam
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN ... #STElevation #STEMI
Nikolsky’s Sign - Febrile & Positive Nikolsky’s Sign: Patients in this group have the potential to
Nikolsky’s Sign ... Positive Nikolsky’s Sign ... #Clinical #EM #IM ... Derm #Nikolsky #Sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... V2 • Wellens sign ... pain • Wellens sign
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... : "Pardee's sign ... (Eiffel Tower sign ... #STEMI #Segment
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
diabetes Key signs ... seizure) #Pathophys #EM ... #IM #Endo #DKA
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
diffuse, positive, ST ... with reciprocal ST ... normalization of ST ... inverted #Diagnosis #EM ... #IM #Cardiology
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
hemolytic-uremic syndrome (ST-HUS ... solid organ or stem ... Catastrophic APLS BCM IM