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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... electrocardiogram #cardiology #clinical ... #diagnosis #comparison
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... serology: Serial negative ... Frequent false-negative ... #Endocarditis #comparison
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
impulse test: Negative ... patient with a clinical ... patient with a clinical ... diagnosis #neurology #comparison
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
Coccidioides - Negative ... cut-offs defined in clinical ... Cryptococcus - Negative ... Galactomannan #diagnosis #comparison
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... 40, F:M 9:1 • Clinical ... pANCA anti-MPO - Negative ... druginduced #lupus #sle #comparison
Characteristics of Selected Pneumonias Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci. Haemophilus influenzae. Pleomorphic gram-negative coccobacilli. Staphylococcus aureus. Plump
Pleomorphic gram-negative ... Plump gram-negative ... Gram-negative rods ... Gram-negative rods ... Patterns #Diagnosis #Comparison
Important Biostatistics and Epidemiology Equations Sensitivity = TP / (TP + FN) = true positives / disease
FP + TN) = true negatives ... all positives Negative ... FN + TN) = true negatives ... / all negatives ... Specificity) Negative
Toxidromes • Anticholinergic • Cholinergic • Sympathomimetic • Sedative-Hypnotic • Opioid by Dr. Lizzy Hastie @LizzyHastie #Toxidromes #diagnosis
Sympathomimetic • Sedative-Hypnotic ... Toxidromes #diagnosis #comparison
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
Endocarditis Native ... epidermidis - Gram-negative ... ) - Culture negative ... Enterococci - Gram-negative ... streptococci - Culture negative
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
Systemic infection Native ... Staphylococcus lugdunensis Native ... HACEK • Culture-negative ... epidermidis • Gram-negative ... Enterococcus • Gram-negative
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