Random Pearls

Question 1

Simultaneous T-wave inversions in inferior and anteroseptal leads should always prompt consideration of what diagnosis?

Answer 1

Pulmonary embolism

Question 2

What diagnosis should be considered with a rightward axis and prominent R-wave in V1?

Answer 2

Pulmonary Embolism

Question 3

What are the classic EKG findings with PE?

Answer 3

Tachycardia
Rightward axis
Incomplete RBBB
S1Q3T3
Simultaneous T-wave inversions inferior and anteroseptal

Question 4

What is on the differential for low voltage?

Answer 4

Myxedema
Pericardial effusion
Large pleural effusion
End-stage cardiomyopathy
Severe COPD
Severe obesity
Infiltrative myocardial disease
Constrictive pericarditis
Prior massive MI

Question 5

Criteria for low voltage?

Answer 5

All limb leads <5mm or

All precordial leads <10mm