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Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... syncope Tests: ECG ... , Brain MRI, Cardiac ... diagnosis #workup #testing ... Effectiveness #table
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... #Differential # ... Classification #Table
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Cardiac #Stress #Testing
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... oliguria (< 0.5 mL/kg ... O2 delivery • MI ... #criticalcare #differential
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), LV Failure (MI ... Valves (wide open MR ... Renal Losses(salt-wasting ... #diagnosis #differential
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... oliguria (< 0.5 mL/kg ... O2 delivery • MI ... #criticalcare #differential
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... - Malignancy (e.g ... Cerebral salt wasting ... #Hyponatremia #Differential ... #Diagnosis #Table
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... polyneuropathy (e.g ... Hyperreflexia #Testing ... #Causes #differential ... #diagnosis #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... indicated • EKG ... Obtain EKG if: ... surgery Stress Testing
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