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differential cardiology ecg ekg electrocardiogram criteria bilateral blines causes clinical coronavirus covid19 endocrinology fungal fuo hyperthyroidism infections infectiousdiseases interpretation investigation
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... Equivalent - Left ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... algorithm • Travel ... geography • Travel ... thin smear • Signs ... UnknownOrigin #workup #diagnosis
Criteria for Patients Under Investigation for 2019 Novel Coronavirus (2019-nCoV) / COVID-19 Fever or signs/symptoms of lower
or signs/symptoms ... and signs/symptoms ... AND A history of travel ... and signs/symptoms ... AND A history of travel
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... Ischemia #ECG #EKG #diagnosis ... #Equivalents #Interpretation
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Frequent Differential Diagnoses ... localizing signs ... or symptoms - Malaria ... #Returning #Traveler ... #tropical #travel
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... immunosuppression, travel ... /lung sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose
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 Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
diffuse goiter (Graves ... antibodies (TRAb) if Graves ... arrhythmia - Fever ... endocrinology #signs ... #symptoms #thyroid
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
conidia → Yeast → travel ... • Fever, cough ... infection • Cough, fever ... Hematopoietic stem ... • Isolated fever
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