8 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
conditions: - Acute ... MI - Pericarditis ... from SVT with aberrancy ... #ECG #Lead #AVR ... #Utility #ALiEM
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... diagnosis #cardiology #electrocardiogram ... #ecg #ekg
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
patient with 100% Acute ... LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... Pericarditis: PR ... than Brugada criteria ... #AVR #leadAVR #ecg ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Pericarditis ... QRS complex Pulmonary ... weeks following an acute ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Prepare • Full Set ... > Constrictive pericarditis ... Tamponade - Pulmonary ... >> Acute PE, Tension
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... due to vascular occlusion ... -> TEE • Duke Criteria ... Endocarditis #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
Generally Diagnosis of Exclusion ... specific diagnostic criteria ... tuberculoma meningitis, pericarditis ... Calmette-Guérin (BCG ... Differential #Diagnosis #Management