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Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
ventricular arrythmia, syncope ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g ... Classification #Table
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... Contractility: • MI ... #Syncope #Cardiology ... #Algorithm #causes
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
WOBBLER for ECG ... , can be caused ... characteristically cause ... #EKG #ECG #Diagnosis ... #Cardiology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis ... #checklist #neurology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... /Afib/WPW) • Loss ... consciousness • Near-syncope ... #Palpitations #Cardiology
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT Syndrome ... (Torsades) or vFib ... **Get baseline EKG ... in new syncope/ ... #Diagnosis #Cardiology
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