16 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
- Diagnosis, Signs ... ) - Kussmaul sign ... despite hx HTN) EKG ... #Diagnosis #Stages ... #Management #Signs
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... Transfusion-related acute lung ... activity, especially status
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
logical sequence of signs ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... Consider cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... Altered Mental Status ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... WBC >100k, + lab signs ... unless worrisome EKG ... with tetany or cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... ECG is vital while ... Cardiac cath if
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
• Monitoring cardiac ... the heart to the lung ... oscillations - Sign ... output state ... #Capnography #interpretation