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cardiology ecg electrocardiogram stemi causes equivalents management rheumatology vasculitis back classification elevation fistula gca giantcell hypertension indications interpretation ischemia pain
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
Aortoenteric Fistula - Diagnosis and Management Summary Epidemiology: • Uncommon but life-threatening • Most common site of bowel connection
Aortoenteric Fistula ... duodenum Clinical Signs ... • Should be on differential ... de novo between aorta ... or within the aorta
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 #
Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... Referred Pain: • Aorta ... #Back #Pain #Differential ... #Diagnosis #causes
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
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... Diagnosis Framework ... < 30 years - Aorta ... branches • GCA: - Aorta ... purpura: strong sign
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Diagnosis Framework ... purpura: Strong sign ... < 30 years • Aorta ... ): • Aorta and
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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