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differential cardiology atrial causes classification electrocardiogram endocarditis management multifocal acidosis algorithm bradyarrhythmia bradycardia children complexes cryoglobulinemia cryoglobulins elevation failure hepatology
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Tachycardia (MAT ... Secondary to chronic lung ... disease (COPD) ... #Cardiology #Diagnosis ... #ECG #EKG #Management
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
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
- Spinal Cord Syndromes ... Spinal stenosis - Abscess ... - Infection (e.g ... patients with a long ... #differential #diagnosis
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Marfan's Syndrome ... blood vessels • Abscess
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
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
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