4 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... 1 — Treat the lungs ... (no B-lines on ultrasound ... #Checklist #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 ... disease b) CHF ... days before Pulmonary ... unless prior heart/lung
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Mississippi and Ohio River ... aches, joint pain, chest ... antigen • India ink prep ... change in the lungs ... nails, bronchi, lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Vital signs: BP ... bleeding often from a liver ... #Radiology #CTChest ... #Lung #Pulmonary