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diagnosis cardiology ecg ekg electrocardiogram endocarditis rheumatology stemi vasculitis bilateral blines bradi bradycardia causes classification clinical evaluation infectiousdiseases interpretation lung
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
or R/S>I STEMI Equivalents ... / Don't Miss Signs ... bigger than QRS - deWinter ... #STEMI #Equivalents ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... EKG #diagnosis #differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Regions - Frequent Differential ... without localizing signs ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Returning #Traveler #differential
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Drugs • ICP / Infections ... Hyperkalemia Pulmonary ... • Myocardial ischemia ... Cimetidine Infections
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 ... /lung sliding: Pulmonary ... interstitial diffuse infections ... partially seen shred sign
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis: • Purpura, ischemic ... Vasculitis Differential ... Vasculitis: • Fevers ... purpura: Strong sign
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
: • Purpura, ischemic ... Coronary arteries - Fever ... to exclude are infections ... Vasculitis: • Fevers ... purpura: strong sign
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Highest metabolic equivalent ... murmur 3/6) - Pulmonary ... Skin exam for infection ... history of: a) Ischemic
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... Early embolic/ischemic ... #Endocarditis #Differential
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