Bilateral Oppenheim's sign- Dorsiflexion of great toes elicited by downward stroking of the medial side of the tibia

How I read LAFB ❗ From the mirror image of qR in aVL and rS in aVF to rS in II and rS in III. LAFB ≥ minus 45 ° (S III > S II).

🧒 with severe dystonia of the left hand and a striatal toe- 2@ to a posterior circulation stroke and severe thalamic infarction Focal brain lesions can cause a range of involuntary movements—dystonia, tremor, chorea, hemiballism. Most common cause? Stroke. 🧠 Lesions in the

“Read in between the lines” 50 yr old started on Amiodarone and referred for ablation, elsewhere based on this ECG thinking it’s a Flutter !! What is causing these ecg changes ? #cardiophile #MedTwitter #ECG #cardiotwitter

"Iron def anemia "" is two diseases, iron def & anemia. Don't wait for the 2nd to treat both. One of the early signs is high RDW, not low MCV or HGB, on cbc. Iron is essential for ATP production & mitochondrial fx. Very basic concept but always forgotten esp for CC & cardiac pts

What would be the intervention here 🤔

Leon Dr. Andreas Roeschl Antonio Arroyo, MD. Medico Cirujano. Jana Borucka Cciari1 Jack Cahill Dr Razi Pedram Enis Lila Milan Koštek FLUTTER Nanashī🫀 AFL with multilevel block with 2:1 above & 3:2 below. Like the diagram in b.

A 42-year-old male was rushed in with NSTEMI and acute decompensated heart failure. His LVEF: 35%. Soon required intubation and NORAD support. What's on this ECG #MedX #Cardiology

Residents!!! Quick Interpretation of a CBC in 30 Seconds 1️⃣ Hemoglobin (Hb) Low Hb = Anemia → First question: Is it microcytic, normocytic, or macrocytic? Microcytic (MCV < 80) → Iron deficiency, Thalassemia, Chronic disease Normocytic (MCV 80–100) → Acute bleed,

55 yo lady known hypertensive and diabetic with 7 hrs of retrosternal chest pain radiating to jaw .

Bidirectional or PVC with fusion?young pt with palpitations case Digitized with PMcardio—AI that reads ECGs #ECG #Cardiology #cardiotwitter

Sunday ECG ACADEMICs ECG changes in Acute Pulmonary Embolism By DR. D.P. KHAITAN,MD (MEDICINE) FCGP(IND) FIAMS(MEDICINE) FICP FICCMD ,FIACM, Gayajee, India ECGs Dr. Andreas Roeschl ECG Buddy Stephen W. Smith ECG Challenge ECGWeekly 🫀EcgOxford ECG KUMASI Yousif Al-Saiegh MD

82 y/o F with hx of COPD & CVA Presented with exertional SOB BP: 90/50 Likely Diagnosis? Stephen W. Smith Nanashī🫀 Pendell Meyers Dr G Rajesh (Gopalan Nair Rajesh). Robert Herman, MD, PhD Magnus Nossen, MD #ecg #ekg #Cardiology #cardiotwitter #cardioX #cathlab #angiography #Foamed #PPCI #Cardiologist

Axis deviation in the left superior (anterior) hemiblock. x.com/KostekMilan/st…

⚡ 10 ECG patterns where missing the diagnosis can be catastrophic These aren’t subtle. They’re time-critical. 🧠 Wellens 🔥 Brugada ⚡ Hyperkalemia 🫁 Massive PE ❤️ STEMI 🚨 Left main / proximal LAD ischemia 💥 Ventricular tachycardia 🔄 Torsades de pointes 🧊 Complete heart

If you have pt with BP 196/43 ( Mild AR on TEE) EF 40%. Currently in CHF exa. AMS, last ABG (7.25/70/124/28) on bipap (18/8), no change after 2h of BiAP Cr 1.8 ( baseline) UOP >2. I just wants to know your thoughts of such very widened PP with high SBP !!!

Community-acquired pneumonia (CAP) is responsible for 1.2M ED visits and ~41K deaths annually in the US. This Review Article summarizes the epidemiology, pathophysiology, microbiology, diagnosis, treatment & long-term adverse health outcomes for CAP. eviden.cc/3LIuJ5r

T2DM on Dapagliflozin 5 mg with Urine Ketones Case by Dr Vinay Dhandhania, Diabetologist, Ranchi Patient summary : Known Type 2 Diabetes Mellitus On Dapagliflozin 5 mg HbA1c: 7.8% → unsatisfactory but not severe hyperglycaemia Estimated average glucose ~177 mg/dL Urine

"Maintenance IV Fluid Management v 2.0: Initiation" clinical pathway from Seattle Children's Hospital. This is an evidence-based guideline to standardize the use of maintenance intravenous fluids in pediatric patients. community.the-hospitalist.org/content/clinic…

A 25y/M, T1DM, admitted in severe DKA, unconscious, K⁺ 2.0 & diaphoretic. Now biochemically out of DKA. O/E: skin thick & dry with generalized blackened patches & corse face, hyperpigmentation, prominent bony protuberances. Examine the tongue Diagnosis & Rx & Investigation?