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cardiology diagnosis electrocardiogram clinical endocarditis equivalents bilateral blines clotintransit echocardiogram elevation embolism evaluation infectiousdiseases interpretation ischemia management mcconnells perioperative pneumonia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
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 Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... Differential Bilat ... : Pulmonary edema ... interstitial diffuse infections ... partially seen shred sign
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 Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... QRS complex Pulmonary ... #ecg #ekg #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Skin exam for infection ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... , verrucous) - Lung ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG
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