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Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... #Pulmonary # ... #clinical #ecg ... electrocardiogram #cardiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Apical, Posterior, Anterior ... Apicoposterior, Anterior ... radiopaedia.org/cases ... #CT #CTChest #pulmonary ... #clinical #radiology
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On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Leads (VI-V3) +/- Inferior ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treatment #management #cardiology ... #algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
lie against the anterior ... not reach the anterior ... This causes a density ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Cardiac Causes ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology ... Differential #Diagnosis #Algorithm
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
must be located anteriorly ... to a pneumonia caused ... #Clinical #Radiology ... SilhouetteSign #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant