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diagnosis management cardiology causes ecg electrocardiogram neurology algorithm atrophicglossitis candida elevation encephalopathy endocrinology equivalents fissuredtongue geographictongue gravis hairytongue high hyperthyroidism
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... • Hypercalcemia ... STElevation #ST #STEMI ... #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
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
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... - Compartment syndrome ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... Rhabdomyolysis #Differential
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... life-threatening Differential ... dystrophy - Brain stem ... Serologic and EMG ... stimulation - Single fiber
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
by 24 hours or longer ... bone marrow or stem ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... epilepticus Treatment
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
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