Transcription of High Yield Internal Medicine - willpeachMD
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High Yield Internal Medicine - willpeachMD
High Yield Internal Medicine Shelf Exam Review Emma Holliday Ramahi Cardiology A patient comes in with chest pain . Best 1st test = EKG. If 2mm ST elevation or new LBBB (wide, flat QRS) STEMI. ST elevation immediately, T wave inversion 6hrs- years, Q waves last forever Anterior LAD V1-V4. Lateral Circumflex I, avL, V4-V6. Inferior RCA II, III and aVF. R ventricular RCA V4 on R-sided EKG is 100% specific Emergency reperfusion- go to cath lab or *thrombolytics if no contraindications Right ventricular infarct- Sxs are hypotension, tachycardia, clear lungs, JVD, and NO pulsus paradoxus.
squatting, softer w/ valsalva. + parvus et tardus •SEM louder w/ valsalva, softer w/ squatting or handgrip. •Late systolic murmur w/ click louder w/ valsalva and handgrip, softer w/ squatting •Holosystolic murmur radiates to axilla w/ LAE Aortic Stenosis HOCM …
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