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diagnosis cardiology ecg electrocardiogram equivalents headache neurology rheumatology stemi vasculitis algorithm arteritis ascites classification cns emergency encephalitis gca giantcell hepatology
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 #
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 •
to Headaches - Differential ... lyme • Altered mental ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs ... Analysis: 1) General
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
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... Coltivirus Symptoms ... parenchymatous (tabes ... influenzae Symptoms ... Acute meningeal signs
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
< 30 years - Aorta ... branches • GCA: - Aorta ... gastrointestinal, and/or central ... Presentation - Systemic Symptoms ... purpura: strong sign
Emergent Causes of Headache and Associated Risk Factors Carbon monoxide poisoning - Breathing in enclosed or confined
with the same symptoms ... carbon monoxide (eg ... Immunocompromised state - General ... headache #redflags #signs ... #symptoms #differential
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... Arteritis): • Aorta ... Angiitis of the Central ... • Progressive symptoms
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