11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells ... #sign #ClotInTransit
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... No prognostic value ... JWave #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
Waves - Acute Sign ... LAD Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
Waves - Acute Sign ... LAD Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... that’s called “clinical ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
previously stable values ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... life-threatening Differential ... Serologic and EMG ... test - Cogan sign ... - Peek sign