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diagnosis cardiology electrocardiogram twaves differential equivalents acyclovir alteredmentalstatus cardiogenic clinical confusion dcsi delirium detroit empiric encephalitis encephalopathy hematology hemeonc hemophagocytic
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
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 ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management
Management Algorithm for Confusion - Substrate verification, glucose, oxygen checks - Toxidrome present - Focal findings on neurologic examination -
Management Algorithm ... - Fever, SIRS criteria ... electrolytes, CXR, ECG ... AlteredMentalStatus #Delirium #Management ... #Algorithm
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
combined with various criteria ... negative Reller Criteria ... negative Bouza Criteria ... probably much higher (e.g ... is proposed: #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... • EEG: With persistent ... Syndrome #diagnosis #management
Hemophagocytic Lymphohistiocytosis (HLH) High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
▪ Infections (e.g ... pro-inflammatory cytokines (e.g ... Immunosuppression (e.g ... Hematopoietic stem ... anti-IFN-γ antibodies (e.g
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