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Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
from Myocardial Ischemia ... from myocardial ischemia ... life-threatening causes ... #Presentation #comparison ... #Table #Diagnosis
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Heat iniury, Heat stroke ... decreased renal renal ischemia ... per day until stable ... #Summary #causes
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... visual changes, stroke ... AKI, acute limb ischemia ... TLS #diagnosis #management ... #hematology
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
mg/kg/day • Ischemic ... scalp necrosis, stroke ... MTX or TCZ in case ... GCA #Treatment #Management ... #Indications #rheumatology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Related conditions: Stroke ... limb and bowel ischemia ... cryoglobulins • Negative causes ... Cryofibrinogenemia #diagnosis #rheumatology ... #hematology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Heat injury, Heat stroke ... perfusion → renal ischemia ... #causes #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... cannot, coronary ischemia ... treat the primary cause ... may not be the case ... #diagnosis #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... cannot, coronary ischemia ... treat the primary cause ... may not be the case ... echocardiogram #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Stable patients ... one post op Cardiology ... • <6mo since stroke ... medical and surgical management