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diagnosis cardiology a4c management pocus rheumatic rheumatology workup 1: afib antimda5 antimda5dm arthritis causes cell coagulation contrast dermatology dermatomyositis dic
Massive Left Atrial Myxoma on Echocardiogram (TEE) Pt admitted for SOB x 2 months with episode of
Myxoma on Echocardiogram ... admitted for SOB x 2 ... of syncope and chest ... #Myxoma #Echocardiogram ... #TEE #clinical
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
exercise intolerance, chest ... Testing: • TSH level ... level (if patient ... cardioversion 2. ... severe mitral stenosis
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
on Echocardiogram ... (2) Lvef 25-30% ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
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 ANTI-MDA5 DERMATOMYOSITIS Cutaneous manifestations: • Periorbital heliotrope (blue-purple) rash with edema • Erythematous rash on the face, or the
auricular papules Clinical ... disease and ILD • Liver ... Liver biopsies show ... steatosis and hepatocyte ... arthritis Phenotype 2
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
frozen serum (2) ... profile, including liver ... years with neck, chest ... exclude multiple myeloma ... ANA and RF (if clinical
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
• Increased thrombin ... organ damage Clinical ... CNS involvement (2% ... DIC • Severe Liver ... treatment #management #hematology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Change in clinical ... Severe Aortic stenosis ... change CV risk Chest ... CARP, DECREASE V trials
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... with end-stage liver ... bubbles = PFO 2. ... as RAP>LAP as atrial ... #clinical #pocus
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 Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
age 50-70 y/o • 2/ ... plasmacytoma) Clinical ... common - GI tract, liver ... bone marrow at a level ... Diagnosis #Workup #Hematology
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