10 results
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Diagnosis a nd Workup Algorithm ... common in clinical ... Testosterone, HCG ... Diagnosis #Workup #Algorithm ... #endocrinology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Various forms of conduction ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
suggestive of STEMI ... There is RV conduction ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... but rather as a condition ... range of possible clinical ... determined based on two clinical ... criticalcare #icu #clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... are typically able ... Consider Sepsis, a condition ... #diagnosis #algorithm ... #management #clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... are typically able ... Consider Sepsis, a condition ... #clinica l#foamed ... #algorithm #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology