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management cardiology neurology algorithm ecg electrocardiogram infections rheumatology stemi treatment criticalcare equivalents evaluation headache infectiousdiseases pneumonia vasculitis workup aids aortoenteric
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
syndrome - J-point ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... ., CXR, CT, ultrasound ... symptoms (e.g., ... chest pain) and signs ... #Pulmonolary
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... #ecg #ekg #electrocardiogram
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 ... #EKG #diagnosis ... Interpretation #differential
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Diagnosis Algorithm ... papilledema • Horner syndrome ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... appropriate Consider CT ... #CriticalCare #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... recent DAN) • EMG ... or serologies + symptoms ... seen on chest CT ... #differential #
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... Low BMI < 18.5 kg ... - CHF - Pulmonary ... #diagnosis #pathophysiology ... #symptoms #signs
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs ... #Symptoms #Diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup and Differential ... Diagnosis Approach ... hypertension and signs ... renal bruit or signs ... Coarctation of aorta
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