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diagnosis differential management algorithm cardiology causes clinical chf pulmonary nephrology criticalcare pharmacology treatment pathophysiology pocus signs heartfailure radiology symptoms classification
Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
oxygen at high altitude ... fluids, analgesia, ani ... Diagnosis #Management #Altitude
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies •
Heart Failure with ... Approach: ACE, ARB, ARNI ... -2 Inhibitor → ARNI ... pearls-on-guideline-directed-medical-therapy/ #Heart #Failure
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy • Beta-blocker • ACE,
Heart Failure with ... • ACE, ARB, ARNI ... pearls-on-guideline-directed-medical-therapy/ #Heart #Failure
Guidelines Directed medical therapy for Heart Failure Satyendra Dhar, MD, @DharSaty #HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
therapy for Heart Failure ... angiotensinreceptorblockers #ARB #ARNI
Medications for High-Altitude Sickness Acetazolarnide • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Medications for High-Altitude ... #HighAltitude #Altitude
HFrEF: Guideline Directed Medical Therapy "Must Be On" • ACEI, ARB, or ARNI AND select Beta Blockers
ACEI, ARB, or ARNI ... ACEI or ARB • ARNI
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS" Peripheral cyanosis • Cold • Obstruction • LVF and shock
Polycythemia • Altitude
Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction
ventricular dysfunction/failure ... rightventricle #rvfailure
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
2,3-BPG • High Altitude
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... • Causes: High altitude ... hypoxemic respiratory failure ... #Respiratory #Failure
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