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cardiology differential ecg electrocardiogram clinical equivalents algorithm causes checklist chf delirium elevation evaluation foamed heartfailure hypertension icu indications interpretation ischemia
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... - Upsloping ST segment ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... - Upsloping ST segment ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #ekg #electrocardiogram
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
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital signs ... presentation in winter ... tox/infectious workup ... #MICU #CriticalCare ... #Diagnosis
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... ECG is vital while ... acute coronary syndrome ... heartfailure #chf #criticalcare
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