12 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on ... Follow the LAD down ... exactly why the ECG ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... ultrasound and fluoroscopy ... DCSI #Initiative #Management ... #Cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... x-ray and and ECG ... Michael Macias, EM ... Northwestern University #Clinical ... #EM #Radiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... wraparound distal LAD ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... injury with axial load ... fracture • ED Management ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... = best management ... This was her EKG ... Echocardiogram #clinical ... #cardiology #PSAX
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
posterior fat pad ... syndrome • ED Management ... Disposition: Type l, DC ... MH/CCF/CWRU EM ... Elbow #Humerus #Radiology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
posterior fat pad ... fracture • ED Management ... Disposition: Type I, DC ... MH/CCF/CWRU EM ... Fracture #Elbow #Radiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... lab markers such ... pump, Impella, LVAD ... differential #algorithm #management ... #cardiology #treatment