17 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... Most likely diagnosis ... small blue-colored spot ... #Kussmauls #Sign
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Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... Other: Electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... ’s called Frog sign ... #PhysicalExam #JVP ... #Frog #Sign
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #electrocardiogram
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... #bradycardia #diagnosis ... differential #management #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral ... wrist XR, the capitate ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Fractures (medial/lateral ... can't make A-OK sign ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Orthopedics #Sports