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cardiology management anesthesia anesthesiology causes criticalcare endocarditis workup arteritis bradycardia chf clinical dissection ecg effusion electrocardiogram endocrinology foamed giantcell heartfailure
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... valve disease ... Pulse deficit/differential ... deficit • Shock Treatment ... #Dissection #diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... or sed rate): Value ... very remarkable w/differential ... , but normal values ... Treatment of GCA
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Short Stature - Differential ... Diagnosis Algorithm ... Panhypopituitarism Treatment ... #ShortStature #Differential ... #Diagnosis #Algorithm
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
Diagnostic Schema ... Vasculitides 5% (PAN, [E]GPA ... inflammation (e.g ... hypovolemia), Meds/Treatments ... #Diagnosis #algorithm
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
, long P • ↑ Ca ... see below) • ↓ Ca ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... Decompensated CHF, Severe Valve ... ) UOP > 0.5 cc/kg ... #algorithm #treatment
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic ... • MCTD, Lupus, GPA ... #Diagnosis #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Involves aortic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... , involves aortic ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... #Diagnosis #cardiology
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