16 results
Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management 
Source:
Right heart dysfunction ... mechanisms and management ... right ventricular dysfunction ... of myocardial performance ... Criteria #Assessment #RVDysfunction
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Hemodynamically stable ... cancer, liver dysfunction ... long-term therapy #AUB ... Uterine #Bleeding #Management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Myocardial • Systolic Dysfunction ... • Diastolic Dysfunction ... Regurgitation • Sub-Valvular ... Artery Disease • Stable
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... thrombus, RV systolic dysfunction ... Pregnancy • Avoid ARB ... Delivery • Stable ... meds (e.g., ACE/ARB
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... with valvular dysfunction ... or LV dysfunction ... Stable patients ... medical and surgical management
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
Hypokalemia, Erectile dysfunction ... hyperkalemia (ACEI, ARB ... -3), Severe LV dysfunction ... ) - Erectile dysfunction ... contraindications #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... Types #diagnosis #management ... warm #wet #dry #table
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
patients with LV dysfunction ... #Medications #management ... treatment #comparison #table
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
medications, pancreatic dysfunction ... absorption 2/2 ab ... - Check for IF ab ... Deficiency #diagnosis #management
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Diagnosis and Management ... • Autonomic dysfunction ... : • Anti-GAD Ab ... SPS #Diagnosis #Management