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diagnosis checklist clinical electrocardiogram icu syncope treatment admissions admitting bradycardia cardiomyopathy chf complexes congenital crisis echocardiogram elevation emergency evaluation foamed
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... abnormalities - Avoid QTc ... Syndrome #Diagnosis #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... that prolong QT ... Congenital long QT ... #Algorithm
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... waves - Short QT ... waves • Short QT ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... may not occur Differential ... #cardiology
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... miss MDR bugs) MEDS ... will also get an EKG ... diagnosis #workup #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... oral secretions (e.g ... subjective dyspnea, etc ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... (e.g., ACE/ARB)
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