19 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Signs, Symptoms ... - exertional syncope ... despite hx HTN) EKG ... #Signs #Symptoms ... #Cardiology #Staging
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
benign causes such as ... (ruling out differential ... diagnoses), ruling ... further guide management ... orthostatic vital sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... excludes other differentials ... PhysicalExam #JVP #Cardiology
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STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... WBC >100k, + lab signs ... tetany/cramps, syncope ... unless worrisome EKG ... #diagnosis #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Shock, SBP <90, AMS ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Digoxin toxicity Symptoms ... 300 = NSVT EKG ... A PAC also has a ... #differential # ... cardiology
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
of UMN and LMN signs ... fasciculations Common Symptoms ... EMG: LMN Signs in ... conditions listed in differential ... #management