21 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... patient with an anterior ... Ivan_Echocardio #atrial ... a4c #clinical #cardiology ... #pocus #shunting
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... and ventricles contract ... to JV when RA contracts ... EKG of the same ... excludes other differentials
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... hepatobiliary phase • Contrast ... Hepatic #Ultrasound #Contrast ... #CT #MRI #POCUS ... #radiology #differential
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Intra-articular contrast ... be a cause of anterior ... Differential diagnosis ... GAGL): "Reverse J sign ... mri #clinical #Radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... the R wave in inferior ... larger shunt #ECG ... #EKG #Cardiology ... #Crochetage #Sign
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... Subepicardial atrial ... : AVNRT, AVRT, atrial ... #differential # ... cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
poor prognostic signs ... expands (instead of contracts ... ) • May need contrast ... Infarction #acuteMI #cardiology ... #differential #
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #differential # ... cardiology #electrocardiogram