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diagnosis management cardiology causes endocarditis acidosis adenosine anesthesia anesthesiology basics cardiacarrest cardiacstresstest checklist classification coronarystenosis criticalcare ecmo elevation extracorporeal hypoxemia
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #pulmonary #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular ... #hypoxia #Differential
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... output - Acute pulmonary ... ’s • Reduced Arterial
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... cardiovascular failure ... cardiopulmonary failure ... /min): • Dial in ... Assess perfusion (eg
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial ... Renal #Syndromes #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... New-onset Heart Failure ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... senior on-call / dial ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist #Differential
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Libman Sacks) • Atrial ... New-onset heart failure ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
camera detects radio ... History of heart failure ... significantly worse on echocardiogram ... Acute pulmonary ... when baseline EKG
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