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diagnosis cardiology management causes ecg electrocardiogram neurology stemi acidosis algorithm atrophicglossitis candida classification clinical echocardiogram emergency encephalopathy endocrinology equivalents fissuredtongue
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential ... Disorders: • Hyperkalemia ... • Hypercalcemia ... #differential # ... #ekg #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... syndrome - J-point ... discordant QRS complex ... #EKG #diagnosis ... #differential #
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... Widening of QRS complex ... management #algorithm #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Tachycardia - N/V - Abdominal ... ULN • AST/ALT Elevation ... fluid/Lactated ringers ... Rhabdomyolysis #Differential
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... syndrome, ARVC) ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperdefecation • Anterior neck ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... fibrillation/flutter • Abdominal ... causes #diagnosis #differential
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... head syndrome” ... life-threatening Differential ... Serologic and EMG ... stimulation - Single fiber
Tongue Pathology Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
do not require treatment ... require biopsy to differentiate ... benign lesions (e.g ... Burning mouth syndrome ... A complete head
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
by 24 hours or longer ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... epilepticus Treatment ... underlying cause • Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... the patient’s complete ... before beginning treatment ... - Compartment syndrome ... #Differential #
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