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clinical diagnosis echocardiogram differential management ecg plax ultrasound ventricular cardiac effusion electrocardiogram endocarditis fibrillation pericardial tamponade treatment vfib a4c akinesia
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
VT: - No RS complexes ... entirely positive or negative ... positive in aVR and negative ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
normal chest lead ECG ... shows an rS-type complex ... increase in the relative ... #Diagnosis #Cardiology ... #MedStudent #EKG
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
from positive to negative ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
beats (QRS complex ... in that it is negative ... Namely, QRS complex ... #Modified #EKG ... Electrocardiogram #Clinical #Cardiology
Intern Pocket Cards - Antibiogram and Susceptibilities VRE - MRSA - GRAM POSITIVES - GRAM NEGATIVES -
POSITIVES - GRAM NEGATIVES ... (e.g., UTI, bacteremia ... Susceptibilities #antibiotics ... #management #pharmacology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... 1): • Herpes simplex ... in 70%-85% • Negative ... stain: Previous antibiotics ... Monocytogenes or gram negative
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
> ULN Culture-negative ... improved outcomes 1) Antibiotics ... • pay 1: 1.5 g/kg ... • pay 3: lg/kg ... fluoroquinolone to complete
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... ↑ ESR, CRP • EKG ... • IV Antibiotics ... diagnosis #management #cardiology
Anterior Akinesia on POCUS Echocardiogram Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Echocardiogram Wide complex ... getting 12 lead ECG ... , POCUS performed ... ECG obtained. ... Echocardiogram #ultrasound #Cardiology
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... have achieved negative ... algorithm #management #cardiology ... icu #clinical #pharmacology
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