34 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
old with chest ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... lethargy, hematuria, cardiac ... unless worrisome EKG ... with tetany or cardiac
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... (+LR 2.6) - Cardiac ... - History - EKG ... diagnosis #Algorithm #cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... records asx events, all ... NUIM_Chiefs #Cardiac ... Monitoring #Devices #Comparison ... #cardiology #management