EKG question

[Bluesaurus]

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I have a pretty good handle on EKG's at least the theory of it all. I read Dubin's book and part of another.

I only have a minor problem. I tend to look at things and think they are ST elevations when they're not.

I can't tell what is a real ST elevation and when it's that way naturally.


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Second question- I am bad at looking at chest X-rays. Anyone have a decent book to read on them. Ideally something short and also something in depth so I can read the short one first in case I don't get time for a long one.

 

[Rendar5]

ugh, dont' use Dubin. It's a bad EKG book aside form a couple useful things like the rule of 300. It makes your brain shut down and doesn't really give any understanding of EKGs, at least longterm. If you want decent books, look at Thaler and Garcia.

Anyway, first thing you do is establish the baseline which is the T-P segment of the EKG. Then if you think you have something, you check for an anatomical relationship. Wandering baseline? nope no go. tiny S-T elevation in lead I and V2? nope, not really

You also have to look at the general shape, and this will just take some time.

 

[MossPoh]

I find it interesting that the thread title is "EKG question", yet there isn't a single question mark in that entire statement.

 

[Bluesaurus]

ugh, dont' use Dubin. It's a bad EKG book aside form a couple useful things like the rule of 300. It makes your brain shut down and doesn't really give any understanding of EKGs, at least longterm. If you want decent books, look at Thaler and Garcia.

Anyway, first thing you do is establish the baseline which is the T-P segment of the EKG. Then if you think you have something, you check for an anatomical relationship. Wandering baseline? nope no go. tiny S-T elevation in lead I and V2? nope, not really

You also have to look at the general shape, and this will just take some time.

Actually I have Thaler's book also, but I haven't read it. I bought it for its q-bank after reading Dubin's.

However, I just read his chapter 6 about MI's though.

It talks about J-point elevations vs. S-T elevations. In the J-point elevations, you can still see the T wave as a separate entity. With S-T elevations from an MI, I just the T wave kind of melts into the S-T elevation, and you can't see the T wave as it individual shape.

Guess that makes sense.


I still need a good book on chest X-rays.

Any suggestions?

 

[Rendar5]

Actually I have Thaler's book also, but I haven't read it. I bought it for its q-bank after reading Dubin's.

However, I just read his chapter 6 about MI's though.

It talks about J-point elevations vs. S-T elevations. In the J-point elevations, you can still see the T wave as a separate entity. With S-T elevations from an MI, I just the T wave kind of melts into the S-T elevation, and you can't see the T wave as it individual shape.

Guess that makes sense.


I still need a good book on chest X-rays.

Any suggestions?

read every film you come across and if you really feel you need the work, do a quickie radiology elective. No book as far as I'm aware.

 

[Nesiritide]

There are a couple presentations on how to look at CXR's here:

http://www.learningradiology.com/medstudents/medstudtoc.htm

 

[Guile]

Rather than a book for chest x-rays, check out this UVA website for some great instruction and practice of reading CXRs. I think you'll find you won't need anything else. There are few good books on chest radiology written for medical students.

The EKGs, check out The Only EKG You'll Ever Need (Thaler book).

 

[Bluesaurus]

Hey come to think of it someone mentioned a while back that the Radiology made ridiculously simple was a good read.

Anyone try that?

 

[Guile]

Hey come to think of it someone mentioned a while back that the Radiology made ridiculously simple was a good read.

Anyone try that?

I've heard it was good, too.

 

[NotAMD]

Actually I have Thaler's book also, but I haven't read it. I bought it for its q-bank after reading Dubin's.

However, I just read his chapter 6 about MI's though.

It talks about J-point elevations vs. S-T elevations. In the J-point elevations, you can still see the T wave as a separate entity. With S-T elevations from an MI, I just the T wave kind of melts into the S-T elevation, and you can't see the T wave as it individual shape.

Guess that makes sense.


I still need a good book on chest X-rays.

Any suggestions?

St elevation looks like a tombstone.
J point elevation you are able to draw two dots above the line and it looks like a happy face.

 

[NCgirl85]

The EKGs, check out The Only EKG You'll Ever Need (Thaler book).

2009 vs 2006 edition. Trying to figure out if I should pay more to get the 2009 edition, or just get 2006 which I can buy used. Anyone know if there are significant changes?

 

[AbbyNormal]

I still need a good book on chest X-rays.

Any suggestions?

Check out this site -----> http://www.learningradiology.com/