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diagnosis cardiology cardiomyopathy evaluation peripartum algorithm amyloidosis biopsy cardiac coronavirus covid19 guide obgyn perioperative ppcm preop preoperative protocol sarscov2 sepsis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... summation gallop • Abnormal ... ECG, echocardiogram ... #Diagnosis #Management
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... Clinical Presentation ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... ancestry, LGE on MRI ... sx overlap with normal ... Serial TTE and close ... #management #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid - Diagnosis ... Clinical Presentation ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Guide - Updated April ... dyspnea 20-50% • URI ... case reports of myocarditis ... 7-28% -> Incr risk ... Evaluation #Guide #Diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Risk Factors: • ... Anemia ✗ NOT a risk ... Cesarean delivery Clinical ... Key Point: High clinical ... recognition and management
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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