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differential cardiology classification electrocardiogram endocarditis acidosis atrial bradyarrhythmia bradycardia causes children complexes cord cryoglobulinemia cryoglobulins elevation failure hepatology hypoxemic hypoxia
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... AV block 1º - long ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... to neurologic injury ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... (e.g., long QT ... syndrome, ARVC) ... 300 = NSVT EKG ... arrhythmia • Atrial
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia: Belong to a group
Tachycardia: Belong ... dominant pacemaker focus ... #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
Cryoglobulinemia Summary Cryoglobulins: • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
causing endothelial injury ... ) Meltzer's Triad ... : • Clinical triad ... Labs/Diagnosis: ... tissue disorder (e.g
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
treat spinal cord injury ... Spinal stenosis - Abscess ... - Infection (e.g ... patients with a long ... #differential #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Septic Emboli Cause Injury ... Differential Diagnosis ... ↑ ESR, CRP • EKG
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
from contiguous focus ... Hepatic artery (e.g ... ) • Traumatic injury ... #differential #diagnosis ... #hepatology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... Cholesterol emboli syndrome ... Septic emboli cause injury ... ↑ ESR, CRP • EKG
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... liver or renal injury ... / hypoxemia -> focus ... - Compartment syndrome
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