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cardiology management clinical criticalcare electrocardiogram signs symptoms workup algorithm stemi treatment checklist embolism equivalents ischemia lung neurology pneumonia pocus a4c
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Malignancy (e.g ... pathology (e.g. ... SSRIs) Severe pain ... #Diagnosis #Table ... #Causes #Sodium
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
on ECG Mid ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... cardiology #McConnells #sign
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 Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... • Bedside ultrasound
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
chest infiltrate (e.g ... ., CXR, CT, ultrasound ... Inflammation (e.g ... symptoms (e.g., ... pleuritic chest pain
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm Look for surgical abdomen Upper quadrant: R/O cardiac,
Acute Abdominal Pain ... (<72 hours) - Differential ... Diagnostic Algorithm ... : R/O cardiac, pulmonary ... Metabolic disease (e.g
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... excludes other differentials ... ’s called Frog sign
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 Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework ... STE: "Pardee's sign ... QRS complex Pulmonary ... #ecg #ekg #electrocardiogram
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