10 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
and/or digoxin level ... edema - Large effusion ... hypertension Rx 2 ... Revascularization, treatment ... #Checklist #CHF
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... scanning or pulmonary ... #treatment #hepatology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
palpable purpura 2/ ... o infection • Echocardiogram ... LVEF, pericardial effusion ... differential #diagnosis #management ... #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
common in APL (2- ... HoTN, edema and effusions ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Transthoracic echocardiogram ... m/s • Other signs ... ventricular septum 2) ... pressure < 15mmHg TREATMENT ... Hypertension #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... with presence of pulmonary ... Cardiac cath if ... differential #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... medical and surgical management
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... ICANS: altered level ... CAR-T day 3–10; 2– ... renal failure, pulmonary ... , SOB, pleural effusions
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
diuretics, Saline infusion ... Na delivery): CHF ... : • Calcium 2- ... line, stabilizes cardiac ... 10U reg IV + 1-2
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... PVeins (extra-cardiac ... #clinical #pocus ... #a4c #intrapulmonary