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algorithm fibrillation acutepe afib anesthesia anesthesiology angina apml cardiac checklist chestpain differential differentiation ebm ekg electrocardiogram embolism endocarditis evaluation fungal
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Overview Symptoms ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... with a stable symptom ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
symptoms + supporting ... also a result of atrial ... ECG leads) RV Ischemia ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is conscious, symptoms ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
A-Fib) Summary Symptoms ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Fibrillation #AFib #diagnosis ... #management #cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... or serologies + symptoms ... blood retum in serial ... #differential #diagnosis ... #management #treatment
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
• Triggers: ATRA ... treatment Pathophysiology ... Imaging: CXR- pulmonary ... : >3 symptoms, or ... #management #hematology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... Differential Diagnosis ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... history of: a) Ischemic ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
acute respiratory symptoms ... symptoms • Pericarditis ... , with ensuing ischemia ... Aspergillosis Pathophysiology ... #Management #Infections
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