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diagnosis management differential causes checklist criticalcare heartfailure hematology perioperative shock unknown workup amiodarone anesthesia anesthesiology apml biopsy cardiogenic cardiomyopathy chagas
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Infected thrombosis, (e.g ... Lemierre's syndrome ... Brucellosis, Q fever ... Inflammatory Diseases (e.g
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... of Unknown Origin ... Other: • Drug fever ... • Factitious fever ... • Protozoa (eg
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... of Unknown Origin ... release assay (e.g ... #Algorithm #Fever
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP > 40 - End-organ ... Decompensated CHF ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... #criticalcare #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Actively maintained fever ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Presentation: - Fever ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- 80% have fever ... lab signs of end organ ... damage • Treatment ... Low calcium • Treatment ... unless worrisome EKG
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... Prednisone 5mg/kg ... Subacute-Acute: • Common: fever ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF
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