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differential cardiology ecg management electrocardiogram anesthesia anesthesiology checklist equivalents ischemia cardiac elevation hyperkalemia hypertension indications interpretation intraoperative ischaemia k mnemonic
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
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... line; upsloping ST ... #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 ... be seen in: • Hypothermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Peri-operative Hyperthermia ... crisis (late sign ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
morphology of the ST ... so called coved ST ... syncope, can be caused ... of hypothermia ... #ECG #Diagnosis
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
paralysis, post-hypothermia ... reabsorption) Workup ... Peak T, flat P, ST ... bradycardia → sine wave ... only if no clear cause
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