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diagnosis endocarditis amiodarone atrial differential emergencies evaluation fibrillation hemeonc induced infectiousdiseases oncologic oncology perioperative preop preoperative risk stratification toxicity toxicology
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
light-headedness, dizziness, dyspnea ... Noncardiac: • Pulmonary ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... • Amiodarone half ... respiratory distress syndrome ... Dyspnea 3. ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... cause + Systemic anticoagulation ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Anticoagulation ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Facial swelling, dyspnea ... interventional radiology ... stenting - Consider anticoagulation ... ± tocilizumab; call ... renal failure, pulmonary
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... Cholesterol emboli syndrome ... cause + Systemic anticoagulation
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