11 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
/ Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... #STEMI #Equivalents
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... syndrome - J-point ... deviation) • Acute ischemia ... #ECG #EKG #diagnosis ... #differential #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... - 80% have fever ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... #TLS #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 ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
In order to better classify heart failure, the American College of Cardiology Foundation and the American
American College of Cardiology ... in patients who never ... signs of heart ... patients with a diagnosis ... #Diagnosis #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
(e.g., long QT syndrome ... • Myocardial ischemia ... • Underlying ischemic ... Digoxin toxicity Symptoms ... #differential #cardiology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Presentation: Systemic Symptoms ... Vasculitis: • Fevers ... purpura: Strong sign ... • Progressive symptoms
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
: • Purpura, ischemic ... Coronary arteries - Fever ... Presentation - Systemic Symptoms ... Vasculitis: • Fevers ... purpura: strong sign
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... afebrile 24-48 h and ANC ... interventional radiology ... Oncology #HemeOnc #Diagnosis
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 ... history of: a) Ischemic ... one post op Cardiology ... stratification #diagnosis