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diagnosis ekg electrocardiogram management stemi clinical endocarditis equivalents algorithm bradycardia chf contusion criticalcare ctchest echocardiogram edema elevation emergency foamed heartfailure
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... continues into tall, positive ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... in avL - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Ischemia? ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... level <100 pg/ml EKG ... • Negative for ischemic ... changes CXR: ... #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... STE: "Pardee's sign ... QRS complex Pulmonary ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Early embolic/ischemic ... Marantic (NTBE) Differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... with presence of pulmonary ... ECG is vital while ... #diagnosis #differential ... algorithm #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... Early embolic/ischemic ... #Diagnosis #cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
associated with a short ... waves are small positive ... QT syndrome or short ... not have obvious ischemia ... #cardiology #differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... over the left anterior ... Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR
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