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diagnosis differential cardiology causes ekg electrocardiogram hypocalcemia lowcalcium adrenalmass bradyarrhythmia bradycardia cheatsheet clinical congenital electrical electrocution highglucose hyperglycemia hypoglycemia injury
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Dysplasias • (e.g ... Disease • GI (e.g ... IBD) • Renal (e.g ... • CNS Tumors (e.g ... #endocrinology
Toaster Electrocution Electrical Injury Primary determination of injury extent = amount of CURRENT flowing through body. VARIABLES: voltage,
CARDIAC: asytole or Vfib ... most common is Afib ... EKG, labs, cardiac ... severe burns, ECG ... Abnormal ECG or
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 Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... • Alimentary (e.g ... Critical Illness (e.g ... Hyperinsulinemic States (e.g ... #endocrinology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... Waves/Fibrillary = afib ... @AmyChung #EKG ... Interpretation #ECG
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Differential Diagnosis Algorithm ... • Cushing's Syndrome ... Hyperglycemia (e.g ... Differential #Diagnosis #Algorithm ... #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
Differential Diagnosis Algorithm ... D Deficiency (e.g ... Phenytoin, Nephrotic Syndrome ... Hypoparathyroidism (e.g ... #Phosphate #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High PTH LOW PTH - Hypoparathyroid - Congenital (Pediatric)
Differential Diagnosis Algorithm ... Vit-D degradation (eg ... hyperphosphatemia (eg ... Tumor lysis syndrome ... #PTH #endocrinology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT Syndrome ... (Torsades) or vFib ... **Get baseline EKG ... Congenital #LongQT #Syndrome
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