17 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology ... #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... asymmetrical, similar or bigger ... deWinter T waves - starts ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... • Advantages: Longer ... #management #holter
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
dystrophy - Brain stem ... Serologic and EMG ... stimulation - Single fiber ... - Symptomatic Treatment ... Gravis #diagnosis #management
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: Starts ... Electrodiagnostic studies - EMG ... Treatment: • Plasmapheresis ... Syndrome #diagnosis #management ... #treatment #neurology
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
nephrotoxicity from a short ... course of treatment ... probably much higher (e.g ... provide empiric treatment ... is proposed: #Management
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
McDonald diagnostic criteria ... Multiple Sclerosis Treatment ... taper 3-7 days - Short ... sclerosis #diagnosis #management ... #neurology #treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
by 24 hours or longer ... bone marrow or stem ... epilepticus Treatment ... underlying cause • Treatment ... Syndrome #diagnosis #management