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cardiology clinical algorithm criticalcare treatment cardiogenic chf fibrillation foamed heartfailure myocarditis pocus summary ventricular vfib biopsy checklist dcsi detroit differential
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... • Cardiogenic shock ... #Management #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... injury 4. ... HF, Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Setup - Ultrasound ... - Pulmonary >> Acute ... #Diagnosis #Management
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Criteria HRS-AKI (Acute ... 20% HAS) • No shock ... nephrotoxics (e.g ... structural kidney injury ... , Normal renal ultrasound
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- Management Checklist ... drained if causing acute ... (no B-lines on ultrasound ... treatment for acute ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... importantly, bedside ultrasound ... ECG is vital while ... essentially Cardiogenic Shock ... #algorithm #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... heart (Sepsis, Shock ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #management #clinical
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Septic Emboli Cause Injury ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... AED no shock advised ... Diagnosis? ... getting 12 lead ECG ... #ultrasound #Cardiology
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