12 results
Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife.
on POCUS during CPR ... ACLS performed x ... few seconds of CPR ... activity p 30min ACLS ... #ACLS #S4C #Intraarrest
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... ACS vs pericarditis ... aVR instead of ACS ... #ekg #differential ... #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... 5 or elevated Cr ... common • Imaging: CXR ... initiation • Differential ... #management #hematology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... acid, Elevated Cr ... Syndrome #TLS #diagnosis ... #management #hematology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... asymmetrical, similar or bigger ... wave inversion in avL ... #EKG #diagnosis ... Interpretation #differential
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
Coronary Syndrome (ACS ... Abbreviations: ACS ... coronary syndrome; Cr ... , creatinine; ECG ... #Diagnosis #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... Fibrillation #VFib #S4C
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... #ultrasound #Cardiology
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
last week, with CP ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS. ... #Clinical #Cardiology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
erythematosus (ACLE ... permanent alopecia Differential ... Diagnosis: • ANCA-associated ... . hematologic) ... Erythematosus #Diagnosis