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differential arrhythmias barre bradyarrhythmia bradycardia elevation guillain guillainbarre narrowcomplex palpitations premature pvc pvcs segment st stable stelevation stemi tachyarrhythmia tachyarrhythmias
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Syndrome • SA ... • Aflutter ... • AFib • AFIutter ... tachyarrhythmias #Cardiology ... #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... sinus syndrome) ... Valvular disease (e.g
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... ; and sinus tachycardia ... #cardiology #ecg ... #ekg #electrocardiogram
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
walking to nearly complete ... - NORMAL CSF WBC ... Electrodiagnostic studies - EMG ... #diagnosis #management ... #treatment #neurology
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