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cardiology management differential endocarditis aorticdissection aorticregurgitation cardiacus clinical dissection evaluation infectiousdiseases palpitations perioperative pocus preop preoperative risk stratification stress thepocusatlas
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
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 Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... MRI ($$$$) CORE IM ... #diagnosis
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... valve disease ... • Cardiac surgery ... blood pressure: e.g ... #Dissection #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... risk (>5%): - Aortic ... stratification #diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Limited laboratory testing ... failure • Mitral valve ... Valvular disease (e.g ... ., aortic insufficiency
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... • Prosthetic valve ... Ovarian CA, involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic
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