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diagnosis cardiology management amyloidosis cardiomyopathy amyloid biopsy chestxray differential evaluation greatarteries obgyn palpitations perioperative ppcm preop preoperative risk sepsis septic
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
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... Management Clinical ... despite hx HTN) EKG ... precordial leads) - atrial ... #Staging
Transposition of Great Arteries (TGA) on Chest XRay - Oval Shaped Cardiac Silhouette - Narrow
- Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... ., BNP) and imaging ... congestion on a CXR ... experience recovery of cardiac
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
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... LVH, low-voltage EKG ... Testing: • EKG ... disproportionate atrial ... Immunohistochemical staining
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Pericarditis or myocarditis ... SVT-AVNRT or AVRT • Standing ... #Palpitations #Cardiology
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
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
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