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diagnosis cardiology management cardiomyopathy evaluation algorithm amyloidosis biopsy complexes coronavirus covid19 differential erythematosus guide lupus obgyn perioperative ppcm premature preop
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... summation gallop • Abnormal ... ECG, echocardiogram ... shock, sudden cardiac ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Peripartum Cardiomyopathy ... fragment • Other: Myocarditis ... and timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Risk Factors: • ... Anemia ✗ NOT a risk ... Key Point: High clinical ... congestion on a CXR ... experience recovery of cardiac
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... Management Clinical ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Guide - Updated April ... symptom 3-12% • Cardiac ... case reports of myocarditis ... 7-28% -> Incr risk ... Evaluation #Guide #Diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... 300 = NSVT EKG ... (≥ 0.12s) with abnormal ... capture of the atria ... tachyarrhythmias High-risk
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
CLINICAL RECOGNITION ... CLINICAL FEATURES ... mental status DIAGNOSIS ... Serial boluses 250cc ... Septic #Shock #Diagnosis
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... Differential Diagnosis ... pericarditis • Myocarditis ... Cytopenias • Cardiac ... Thrombosis highest risk
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