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diagnosis cardiology management electrocardiogram equivalents neurology stemi syndromes treatment complexes cord endocarditis hematology hemeonc hemophagocytic hlh infectiousdiseases interpretation lesions lymphohistiocytosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... syndrome - J-point ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
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 ... #ECG #EKG #diagnosis ... Interpretation #differential
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Signs and symptoms ... Radiographic findings (eg ... Laboratory findings (eg ... VEP’s: EEG of visual
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... • Myocardial ischemia ... Digoxin toxicity Symptoms ... 300 = NSVT EKG
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
OnePager Summary Autoimmune ... EGPA) • Digital ischemia ... recent DAN) • EMG ... or serologies + symptoms ... #differential #
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Infection (e.g ... spinal cord - Autoimmune ... Lower motor neuron symptoms ... Etiology: - Tabes ... #lesions #differential
Hemophagocytic Lymphohistiocytosis (HLH) High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
▪ Infections (e.g ... and Symptoms: ... pro-inflammatory cytokines (e.g ... Immunosuppression (e.g ... anti-IFN-γ antibodies (e.g
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
regurgitation • Autoimmune ... Cholesterol emboli syndrome ... Early embolic/ischemic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential ... Aldolase levels • EMG ... papules and Gottron sign ... ) • Shawl sign ... #rheumatology #differential
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