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differential cardiology electrocardiogram signs equivalents management allergy anaphylaxis arteritis chagas cns complexes disease elevation encephalitis gca giantcell infections interpretation ischemia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... block; and sinus tachycardia ... #cardiology #ecg ... #ekg #electrocardiogram
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
NMO) - Clinical Manifestations ... brainstem syndromes (e.g ... AQP4-lgG disease; e.g ... #diagnosis #neurology ... #symptoms #signs
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Can be the first manifestation ... arrhythmia syndromes (e.g ... Digoxin toxicity Symptoms ... 300 = NSVT EKG ... Differential Diagnosis
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Cardiovascular - Early: tachycardia ... abdominal cramps Neurologic ... cessation of play #Diagnosis ... #Allergy #Signs ... #Symptoms #Anaphylaxis
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 Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... those coming off aorta ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... #Symptoms #Diagnosis
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... Cutaneous manifestations ... /symptoms, positive ... serology, smear ... 20-90%, normal ECG
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Coltivirus Symptoms ... influenzae Symptoms ... Acute meningeal signs ... #neurology #meningitis
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