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endocarditis management brugada children disorders dissection electrocardiogram evaluation hepatology htn hypertension hypertensive infectiousdiseases obstetrics perioperative pregnancy preop preoperative pyogenic risk
17-year-old male s/p syncopal episode. #Brugada type 3 seen on 12 lead #EKG. Diagnosis confirmed by
seen on 12 lead #EKG ... Diagnosis confirmed ... by Pediatric #Cardiology ... #cardiology #ekg ... #em #peds #pediatrics
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high ... tissue disorder e.g ... Pulse deficit/differential ... blood pressure: e.g ... #Dissection #diagnosis
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
Pyogenic liver abscess ... Hepatic artery (e.g ... #abscess #pediatrics ... #children #peds ... #differential #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Hypertensive Disorders of Pregnancy Chronic Hypertension: • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg •
And Proteinuria (e.g ... pits <100k), ↑ liver ... hemolysis, elevated liver ... htn #obstetrics #cardiology ... #differential #
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Ovarian CA, involves aortic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Assess functional ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
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