55 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... #psax #diagnosis ... #cardiology #pocus
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
Findings Causes ... • Milk-alkali syndrome ... #ECG #Electrocardiogram ... #Differential #Causes ... #Diagnosis #Cardiology
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
abnormality in Wellens’ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... in relation to ECG ... not a sensitive finding ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... dysfunction, impaired RV filling ... #physicalexam #diagnosis ... #cardiology #differential ... #causes
Hydronephrosis Grading
Grade I - Pelviectasis 
Grade II - Caliectasis (Major Calyces)
Grade III - Caliectasis (Minor Calyces)
Grade
Thinning - POCUS ... Grading #grades #nephrology ... #radiology #ultrasound ... #pocus #clinical ... #diagnosis
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
segment is the only ECG ... finding predictive ... Differential #Algorithm #cardiology ... myocardial #infarction #diagnosis ... #coronary #syndrome
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