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cardiology diagnosis algorithm clinical ekg electrocardiogram management cardiogenic chf criticalcare dcsi detroit echocardiogram effusion elevation equivalents erythematosus foamed heartfailure hemopericardium
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... visualization with use of ultrasound ... TIMI III flow in all ... major epicardial
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... deWinter T waves - starts ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... • Malignancy (e.g ... Primary systemic amyloidosis ... #Diagnosis #cardiology
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX) Pt with systemic AL amyloidosis presents with 1
- Parasternal short ... Has new large pericardial ... cardiac involvement ... #Cardiac #POCUS ... Echocardiogram #Cardiology
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 Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STElevation #ST #STEMI ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... importantly, bedside ultrasound ... ECG is vital while ... Cardiac cath if ... #diagnosis #differential
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
erythematosus (ACLE ... permanent alopecia Differential ... Serositis: • Pleural/pericardial ... 5% of patients Cardiac ... Cytopenias • Cardiac
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