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diagnosis management cardiology causes algorithm criticalcare checklist clinical intraoperative anesthesia anesthesiology treatment cardiac cardiomyopathy classification echocardiogram pulmonary table endocarditis endocrinology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... and Survey 4) Workup ... dilated IVC - Cardiac ... Cardiac surgery? ... criticalcare #treatment #workup
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... rupture Initial workup ... : • EKG • Bedside ... Serial troponin; HEART
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure): • Severe heart ... → tension PTX, cardiac ... uw_IMresidency #Shock ... #Differential #
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... to next step if shock ... goals—restore and maintain heart ... except congenital heart ... lesions), and cardiac
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... Ameliorate increased work ... oxygenation; remove work
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Pneumothorax, Cardiac ... Dehydration Shock ... ) UOP > 0.5 cc/kg ... #Differential #
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
Mesenteric Ischemia - Differential ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... strangulation), Heart ... /Vessels (Heart
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup ... Disease, Structural Heart ... Pre-Coronarv): Shock ... Elevated #Troponin #Differential
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... Losses (bums, heat ... #diagnosis #differential
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