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diagnosis differential ecg algorithm criticalcare electrocardiogram neurology atrial barre bradyarrhythmia bradycardia capillary chf clarksons clinical complexes disease elevation foamed gravis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
3 different P wave ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #MAT #Cardiology ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(1) Sinus tachycardia ... 3 different P waves ... (2) Sick Sinus Syndrome ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Syndromes • Early ... QRS complex Pulmonary ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... syndrome, ARVC) ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
urinary retention, tachycardia ... Electrodiagnostic studies - EMG ... Treatment: • Plasmapheresis ... #diagnosis #management ... #treatment #neurology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... #criticalcare #treatment
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... head syndrome” ... Serologic and EMG ... stimulation - Single fiber ... Gravis #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... recent DAN) • EMG ... crescentic GN by Nick ... differential #diagnosis #management ... #treatment
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
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