25 results
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
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
block 1º - long PR ... PR intervals (2 ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation: Differential ... diagnosis includes ... aVR • Classic EKG ... #ekg #differential ... #cardiology
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
Definition and Diagnostic ... depression on ECG ... CMR). ... of 4-6 weeks or longer ... #criteria #cardiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Consolidation #Differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... Equivalents / Don't Miss Signs ... wave inversion in avL ... #EKG #diagnosis ... Interpretation #differential
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
are trying to figger ... visible wall #CXR ... #Lucency #Differential ... Lung #Pulmonary #Diagnosis ... #Radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... of the leads l, aVL ... #EKG #diagnosis ... #differential #
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... acid, Elevated Cr ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... 5 or elevated Cr ... Prednisone 5mg/kg ... common • Imaging: CXR ... initiation • Differential