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differential neurology cardiology ecg electrocardiogram management anesthesia anesthesiology checklist equivalents ischemia ascites cardiac cns elevation encephalitis hepatology hypertension hyperthermia indications
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... syndrome - J-point ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
dystrophy - Brain stem ... myasthenia Diagnosis ... Serologic and EMG ... test - Cogan sign ... - Peek sign
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... (e.g. oculomotor ... , Myasthenia gravis ... Manifestations #diagnosis ... neurology #symptoms #signs
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... dullness, puddle sign ... Jcortesizaguirr #Ascites #workup
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
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... dystrophies Work ... #Differential #Diagnosis
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