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diagnosis cardiology ekg stemi equivalents management spinal spinalcord algorithm als amyotrophic cns comparison disorders elevation encephalitis evaluation falls geriatrics headaches
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #electrocardiogram ... Interpretation #differential
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 ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... in lateral leads ... in lateral leads ... #ekg #electrocardiogram
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... - Infection (e.g ... Lower motor neuron symptoms ... syndromes #lesions #differential ... #diagnosis #neurology
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential ... and signs below ... Tract Lesions: • Bilateral ... disorders #diagnosis #neurology ... #differential
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
multiple spinal cord ... fasciculations Common Symptoms ... EMG: LMN Signs in ... conditions listed in differential ... #Sclerosis #neurology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Hyperreflexia develops later ... lesion • Bilateral ... signs and/or symptoms ... diagnosis #management #neurology ... #differential
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Coltivirus Symptoms ... influenzae Symptoms ... Acute meningeal signs ... #diagnosis #neurology
Headaches Overview - Primary vs Secondary Headaches What’s the Core Difference? • Primary headache = headache is
What’s the Core ... headache is a symptom ... • Tension – Bilateral ... N Neurological signs ... confusion, focal signs
Evaluation of Recurrent Falls Core Concept: Maintaining an upright posture requires the integrated function of multiple systems. Disruption in
Recurrent Falls Core ... presyncope, exertional symptoms ... positive Romberg sign ... Falls #Diagnosis #Differential ... Evaluation #Geriatrics #Neurology
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