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diagnosis causes management workup cardiology checklist chronic electrocardiogram equivalents evaluation hepatology nephrology primary sclerosis secondary stemi treatment als amyotrophic anesthesia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... triple vessel disease ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
• Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... CNS infection (e.g ... #neurology #PHANTOMS
Primary Biliary Cirrhosis - Diagnosis Algorithm Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort Signs: Jaundice, Xanthelasmata, Hepatomegaly Associated history:
Cirrhosis - Diagnosis Algorithm ... quadrant discomfort Signs ... disease (e.g. dryness ... disease, Persistent ... specific ANAs (e.g
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Origin (FUO) - Differential ... Diagnosis Algorithm ... Solid tumors Autoimmune ... • Lyme disease ... • Protozoa (eg
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... Relevant drug levels (e.g ... of infection (fever ... rigidity) Consider EEG
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Clonus, Babinski’s sign ... • Lhermitte’s sign ... pupillary defect SIGNS ... Signs and symptoms ... VEP’s: EEG of visual
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
brainstem syndromes (e.g ... ; e.g. narcolepsy ... Myositis, Comorbid autoimmune ... Manifestations #diagnosis #neurology ... #symptoms #signs
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Diagnosis Algorithm ... Hepatitis • HIV Autoimmune ... Obstructive Pulmonary Disease ... Neurologic • ... • Drug Abuse (e.g
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria - Differential ... Diagnosis Algorithm ... • Exercise • Fever ... Minimal change disease ... Protein deposition (eg
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