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management clinical checklist electrocardiogram radiology anesthesia anesthesiology intraoperative causes pulmonary testing approach cost echocardiogram effectiveness embolism equivalents interpretation neurology stemi
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... Tests: ECG, Telemetry ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... #diagnosis #workup
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
No prognostic value ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #cardiology #MRI
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... Carotid US • Brain MRI ... • EEG • Cardiac ... #diagnosis #workup
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
Trigonum) Syndrome - MSK ... posterolateral talus ... hallucis longus Differential ... diagnosis for similar ... #diagnosis #msk
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
Approach to ECGs ... Short QT <300-360 ms ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
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