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diagnosis differential management cardiology causes endocarditis amiodarone bpap cpap criticalcare indications induced infectiousdiseases lung nippv noninvasive positivepressure toxicity toxicology ventilation
Causes of Acute Dyspnea - Differential Diagnosis Algorithm Cardiovascular • Myocardial Infarction* • Cardiac Tamponade* • CHF Pleural
Causes of Acute ... Vascular • Pulmonary ... Embolism* Lower ... Anaphylaxis* #Acute ... #Dyspnea #SOB #
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Diagnosis Algorithm ... Stable Angina • Acute ... Embolism* • Pulmonary ... #Dyspnea #SOB #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... • TTE nondiagnostic ... ↑ ESR, CRP • EKG
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
generate larger VT ... exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... , dyspnea NIPPV
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Culture Positive: • Acute ... heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... ○ TTE nondiagnostic ... ↑ ESR, CRP • EKG
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
pleural effusions • Acute ... acute respiratory ... (e.g., chronic ... Dyspnea 3. ... embolism -
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