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differential cardiology ecg electrocardiogram equivalents infections management signs algorithm allergy anaphylaxis arteritis cns elevation encephalitis fungal gca giantcell headache infectiousdiseases
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
STEMI Equivalents ... J point • De Winter ... 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 ... block; and sinus tachycardia ... (Eiffel Tower sign
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
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
- Differential Diagnosis ... ) • Systemic symptoms ... and signs (e.g. ... ., meningitis) ... #Algorithm #neurology
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 ... systemic sx + signs ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
conidia → Yeast → travel ... pulmonary, systemic or meningitic ... Hematopoietic stem ... infection (~40%) • Meningitis ... Invasive Disease: • Meningitis
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