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diagnosis management neurology algorithm electrocardiogram hematology ischemia rheumatology equivalents headache secondary vasculitis workup acute als amyotrophic anesthesia anesthesiology autoimmune avnrt
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Myocardial infarction: Classified into 5 types based on etiology and circumstances: Type 1: Spontaneous MI caused by ischemia
coronary event (eg ... oxygen demand (eg ... decreased supply (eg ... intervention (signs ... bypass grafting (signs
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
• Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... CNS infection (e.g ... ) • Temporal arteritis
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... in refractory cases ... #Pericarditis #Cardiology ... #Diagnosis #Signs ... #Symptoms
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... not be subtle e.g ... very remarkable w/differential ... E.g. 80 yo ESR cutoff ... GCA #Temporal #Signs
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
workup for specific symptoms ... for secondary causes ... organ-specific signs ... or symptoms (eg ... Disorders #Algorithm #Differential
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
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 Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... priapism • Lab values ... WBC >100k, + lab signs ... sudden death • Lab values ... unless worrisome EKG
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
risk factors (eg ... hypertension (eg ... hypertension and signs ... hypertension (eg ... renal bruit or signs
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