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cardiology ekg electrocardiogram stemi causes equivalents management rheumatology vasculitis workup arteritis ascites classification clinical dissection echocardiogram elevation emergency examination gca
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... Interpretation #differential
Aortic Root Sign The aortic root sign an anomalous circumflex coronary artery (ACCA) that emerges from the
Aortic Root Sign ... underneath the aorta ... to supply blood ... #Aortic #Root #Sign ... #cardiology #diagnosis
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... Pulse deficit/differential ... ~60 • Control blood ... pressure: e.g. ... #Dissection #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 ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... #ecg #ekg #electrocardiogram
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... Diagnosis The ... than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs
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
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... hematuria • Signs ... renal vein between aorta ... #renal #urine #blood
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
< 30 years - Aorta ... branches • GCA: - Aorta ... purpura: strong sign ... pulses, bruis, or blood ... Large Vessel: Blood
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... GCA #Temporal #Signs
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