12 results
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... V1 - Right atrial ... rotation - Atrial ... #HighRisk #Electrocardiogram
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Atherosclerosis, Arterial ... Vessel - Lacunar Embolus ... Valvular • Atrial ... • Pulmonary ... embolus
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... common finding) • Atrial ... also a result of atrial ... #EKG #Pulmonary ... diagnosis #cardiology #electrocardiogram
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Right Ventricle Infarction ... Embolism ... Arterial Hypertension ... Differential #Diagnosis #Algorithm
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Acute myocardial infarction ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... , PT. aPTT • Serial
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Acute Myocardial Infarction ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... Angiography & PCI
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... that may lead to infarction ... • Paradoxical emboli ... ↑ ESR, CRP • EKG
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... described for Pulmonary ... Embolism; here ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cryoglobulin (CG ... thrombophlebitis, pulmonary ... emboli, and ocular ... including retinal arterial ... DIC • Septic emboli
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... Septic emboli ... that may lead to infarction ... ↑ ESR, CRP • EKG