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Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Reflux Disease (GERD ... ) - Summary GERD ... chronic cough GERD ... • Refractory GERD ... foods: caffeine, spicy
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
Initial r wave > 30 ms ... nadir of S > 60 ms ... diagnosis #cardiology #ekg ... #ecg #telemetry
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
arrythmias Diagnostics: EKG ... ($$), Nuclear SPECT
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
or q wave > 40 ms ... in the last 40 ms ... in the first 40 ms ... diagnosis #cardiology #ekg ... #ecg #telemetry
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
home in a thumb spica ... Splint: Thumb spica ... Orthopedics #Sports #MSK
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... interval < 120 ms ... interval ≥ 120 ms ... Amy Chung, MD, MSc ... @AmyChung #EKG
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Splint: Thumb spica ... Orthopedics #Sports #MSK
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Non-relaxation of EG ... junction: Achalasia, EG ... from esophagitis (GERD
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Splint: Thumb spica ... #Orthopedics #MSK