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diagnosis management rheumatology shock testing workup a4c behcet cardiology challenges classification clinical constrictive disease echocardiogram fluid pathophysiology responsiveness scleroderma sclerosis
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
thickening, distal to elbows ... skin thickening Signs ... • Cardiac: myocardial ... fibrosis, pericarditis ... rheumatology #diagnosis #signs
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Echocardiographic Signs ... Echocardiographic Signs ... Echocardiographic Signs ... Echocardiographic Signs ... #criticalcare #
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... velocity of 9.5 cm/sec ... Echocardiogram #a4c ... #pocus #clinical
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Consider IL NS/LR infusion ... > Constrictive pericarditis ... Cardiac surgery? ... Management #Summary #criticalcare
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Venous disease (SVC ... thrombosis, VTE) • Cardiac ... Disease: Pericarditis ... diagnosis #management #signs ... #symptoms #rheumatology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
precede other signs ... quickly (30-90 sec ... response to the rapid infusion ... testing #diagnosis #criticalcare ... #comparison #challenges
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