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clinical diagnosis management pocus differential video cardiology physicalexam radiology ultrasound algorithm pharmacology treatment neurology pulmonary msk pathophysiology comparison echocardiogram criticalcare
T Waves: Benign Early Repolarization vs Hyperacute T Waves vs Peaked T Waves BER = Notching
Peaked T Waves BER ... Electrocardiogram #BER
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations Causes of Thiamine Deficiency: • Poor intake: - Diets
failure • Wet beri-beri ... Confabulation Beri ... Beri: • Dry Beri ... Beri: - Symmetrical ... Beri: - High
Benign Early Repolarization (BER) on EKG • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Repolarization (BER ... Repolarization #BER
Clinically Important Vitamins and Vitamin Deficiency States Fat-soluble Vitamins: • Vitamin A - Xerophthalmia, night blindness,
Thiamine B1 - Beri-beri
Metabolic Acidosis with Anion Gap - KILU Mnemonic K - Ketoacidosis • DKA - With normal glucose, ask if
lactate build-up, Beri-Beri
Causes of Myocarditis 1. Infectious Myocarditis • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
spider bites, bee ... Phaeochromocytoma, vitamins: beri-beri
Suspected DVT Algorithm - TheCurbsiders Adapted from Streiff et al. J Thromb Thrombolysis. 2016 - Created by
Justin Berk @justinberk
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
STE typical of BER
Positive Seidel test on fluorescein stain exam Globe rupture can be identified by a positive Seidel test
Globe rupture can be ... rupture should be ... the head of the bed
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 Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
, but can also be ... Leukocytes - Up to 3 per ... field = normal; >3 per ... Some crystals can be
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