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cardiology clinical differential ecg electrocardiogram pocus equivalents fibrillation hematology risk stemi ultrasound ventricular vfib avr evaluation fever fuo grace hypercoagulable
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... ST elevation in ACS ... predictor of recurrent ischemic ... includes ACS vs ... aVR instead of ACS
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... asymmetrical, similar or bigger ... wave inversion in avL ... - early inferior ... #ECG #EKG #diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... AKI, acute limb ischemia ... acid, Elevated Cr ... unless worrisome EKG
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram 58yoM smoker, neg nuclear ST last week, with CP that
last week, with CP ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS. ... #Clinical #Cardiology
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... Note akinesia of anterior
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 Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... Note akinesia of anterior
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... dependent DM ACS ... algorithm to determine ... • <12mo since ACS ... stratification #diagnosis
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). Abbreviations: ACS, acute coronary
Coronary Syndrome (ACS ... Abbreviations: ACS ... coronary syndrome; Cr ... , creatinine; ECG ... #Diagnosis #Cardiology
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