14 results
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... #Comparison #VentricularTachycardia ... #cardiology #diagnosis
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... , a true sign of ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Clinical Presentation ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
depression; In aVR ... Normalization Spodick's sign ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CTAir surrounding ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... abutting the pleura, air-bronchograms ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology
Air Crescent Sign on Chest CT
 • Crescentic or circumferential rim of radiolucent airspace within a
Air Crescent Sign ... on Chest CT • ... #Crescent #Sign ... #diagnosis #radiology ... #clinical
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram ... Sign on Chest CT ... .2016.12.033 #Air ... #diagnosis #radiology ... #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
dissection, PE, peri/myocarditis ... Equivalents / Don't Miss Signs ... leads with STE in avR ... #Ischemia #ECG ... electrocardiogram #cardiology