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diagnosis ecg electrocardiogram equivalents abdominal algorithm cardiogenic dcsi detroit endocarditis evaluation initiative interpretation kub perioperative preop preoperative risk shock sign
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis: • inflammatory bowel disease: UC and CD
- Differential ... • infection (e.g ... colitis) • bowel ischemia ... • typhlitis #Colon ... #Diagnosis #radiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Regurgitation • Colon ... #cardiology
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