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diagnosis differential management cardiology algorithm clinical criticalcare causes pocus classification table ultrasound signs treatment comparison symptoms echocardiogram cardiogenic pathophysiology pharmacology
Causes of Myocarditis 1. Infectious Myocarditis • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Causes of Myocarditis ... Infectious Myocarditis ... Spirochaetal - Borrelia ... Radiation, Electric Shock ... #Myocarditis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... • Cardiogenic shock ... Antlviral (lymphocytic myocarditis ... Immunosuppressants (chronic myocarditis ... eosinophilic) #Myocarditis
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Myocarditis ... Principles of Myocarditis ... Treat myocarditis ... HF, Cardiogenic shock ... - Lymphocytic Myocarditis
Causes of Myocarditis Infectious Etiologies: • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Causes of Myocarditis ... Bacterial agents: Borrelia ... disease, Giant cell myocarditis ... Thyrotoxicosis #Myocarditis
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... Distributive shock ... - Septic shock ... infarction - Myocarditis
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... any cause) - Myocarditis ... DrEricStrong #Shock
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
of Cardiogenic Shock ... Blockers, Digoxin Myocarditis ... #Cardiogenic #Shock
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... Valve Disease, Myocarditis ... Sophia_Hayes_MD #Shock
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... • Obstructive shock ... Distributive Shock ... disease. severe myocarditis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Valve Disease, Myocarditis ... Dehydration Shock ... Sophia_Hayes_MD #Shock
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