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diagnosis cardiology electrocardiogram equivalents management rheumatology algorithm autoimmune encephalitis gca giantcell gravis headache interpretation ischemia meningitis mnemonic myasthenia myopathy myositis
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 ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
(e.g., fever, myalgia ... brain lesion • CNS ... infection (e.g. ... ) • Temporal arteritis ... Diagnosis #Algorithm #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Lack of UMN/LMN signs ... electromyographic (EMG ... #Weakness #Differential ... #Diagnosis #neurology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... those coming off aorta ... not be subtle e.g ... vasculitis vs infection ... E.g. 80 yo ESR cutoff
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... < 30 years • Aorta ... ): • Aorta and ... affects the skin, neurologic ... chorioretinitis, CNS
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... Enteroviruses (e.g ... Acute meningeal signs ... #Infections #differential ... #diagnosis #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
syndrome, rheumatoid arthritis ... life-threatening Differential ... dystrophy - Brain stem ... Serologic and EMG ... diagnosis #management #neurology
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... Tenderness → Consider infectious ... Aldolase levels • EMG ... ) • Shawl sign ... • Nonerosive arthritis
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