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differential management cardiology ecg electrocardiogram equivalents fever ischemia stemi treatment anesthesia anesthesiology ascites bells cardiac checklist disorders eosinophil eosinophilia hematology
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
Unknown Origin (FUO ... ) - Further Workup ... Returning Traveler’ algorithm ... thin smear • Signs ... #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... of Ischemia - ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... evaluation or workup ... organ-specific signs ... or symptoms (eg ... #Differential #diagnosis
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... Unknown Origin (FUO ... release assay (e.g ... upon geography/travel ... #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
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... dullness, puddle sign ... Jcortesizaguirr #Ascites #workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... and Workup: • ... CNS inflammatory cause ... ) • EMG/NCS (rare
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... bradycardia → sine wave ... only if no clear cause ... ileus/obstruction (ischemia
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