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cardiology ecg electrocardiogram stemi workup anesthesia anesthesiology checklist equivalents intraoperative rheumatology vasculitis arteritis cardiac classification clinical dissection echocardiogram elevation emergency
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... Pulse deficit/differential ... #Dissection #diagnosis ... #management #vascular
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Diagnosis Approach ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta ... #Differential #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
adult, 10 ml.kg-1 paediatric ... : o Cardiac ischaemia ... #Hypotension #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
: • Purpura, ischemic ... tract, and often causes ... < 30 years - Aorta ... branches • GCA: - Aorta ... purpura: strong sign
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs ... #Management
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