11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... ultrasound • CXR ... Serial troponin; HEART
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... un lymphatic Diagnostic ... → no signs of CXR ... Consider cardiac ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... hemodynamics and cardiac ... with presence of pulmonary ... Cardiac cath if ... #algorithm #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... appear in left heart ... 3-6 cardiac cycles ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... and timing with Cardio-OB ... support for patients clinically ... follow-up with Cardio-OB
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... • Monitoring cardiac ... transmitted from the heart ... - Shock/low cardiac ... interpretation #patterns #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
and Management ... renal failure Clinical ... e.g. incidental CXR ... neuropathy or cardiac ... posterior MSK, heart
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... Change in clinical ... postoperative cardiac ... stratification #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary ... glycol - HIV/HAART
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
The heart consumes ... of the resting cardiac ... #diagnosis #algorithm ... echocardiogram #management ... #clinical #criticalcare