20 results
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... Parasternal long axis (PLAX ... appearance of heart on CXR ... #Amyloidosis #Cardiac ... #Cardiology #PLAX
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... appearance of heart on CXR ... amyloidosis with cardiac ... #Amyloidosis #Cardiac ... #Cardiology #PSAX
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
(PLAX) 57yo M with ... Normal work up including ... negative ECG, CXR ... #clinical #cardiology ... #PLAX
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... Stop or rapidly complete ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... WBC >100k, + lab signs ... acid, Elevated Cr ... Syndrome #TLS #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... of the leads l, aVL ... discordant QRS complex ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... • PR-segment ... (Eiffel Tower sign ... #cardiology #ecg
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 ... asymmetrical, similar or bigger ... wave inversion in avL ... #EKG #diagnosis