4 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... edema - Large effusion ... Nephrotoxins (e.g ... channel blocker (eg
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... not be subtle e.g ... vs infection vs malignancy ... E.g. 80 yo ESR cutoff ... Symptoms #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... unless prior heart/lung
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... drugs, seizures, malignancy ... output - Acute pulmonary