9 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... • Cardiac surgery ... aortic aneurysm ... opiates • Control heart ... #diagnosis #management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Atherosclerosis) • Aortic dissection ... • Aortic aneurysm ... beats: • Left heart ... Abnormalities #Disorders
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential Diagnostic ... Thrombus, 1° clotting disorder ... pancreatitis) - Arterial ... failure, Dissection ... hypovolemia), Meds/Treatments
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
and infects the CNS ... Encephalopathy Triad ... Diagnosis: MRI ... Treatment: • HAART ... treatment • Cognitive
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... • Classic triad ... leukocytosis, psychiatric disorders ... of anesthesia, surgery ... management and then surgery
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
aortic dissection ... allowed the CV surgeon ... the confirmatory CTA ... and standard treatment ... for a more rapid diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... lesions • Mycotic aneurysm ... hematuria, + RF Treatment ... antibiotics • Surgery ... Viridans Surgery
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
urine, sweat) - its ... perfusion - shock->treatments ... regional ischemia, surgery ... before beginning treatment ... glycol - HIV/HAART
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
ribs, vertebrae (thoracic ... Biopsy: Solitary disorder ... • 18F-FDG PET/CT ... Bone marrow Treatment ... local control • Surgery