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Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... #diagnosis #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... #criticalcare #algorithm ... #treatment #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... have made the diagnosis ... The pulmonary vessels ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Prednisone 5mg/kg ... myalgias, HoTN, edema ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... #management #hematology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... embolus 3. ... May have typical HF ... orthopnea, PND, LE edema ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and Peripheral Edema ... with presence of pulmonary ... edema (“B-lines ... #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis