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management cardiology differential ekg electrocardiogram equivalents stemi anesthesia anesthesiology b12 bells cardiac cobalamin complexes deficiency hematology interpretation intraoperative ischaemia leukostasis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... is conscious, symptoms ... Intraoperative #Checklist ... #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... Digoxin toxicity Symptoms ... Differential Diagnosis ... more intensive treatment
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
hypoxia and organ ischemia ... to manifest its symptoms ... , alcohol use, symptoms ... Check for IF ab Treatment ... consider other diagnosis
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... inflammatory cause) • EMG ... #Management #Treatment
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