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diagnosis differential criticalcare algorithm cardiomyopathy disease lactate peripartum rheumatology sepsis summary workup acidosis anesthesiology behcet biopsy cardiotoxicity causes checklist checkpoint
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #diagnosis #management ... #cardiology #summary
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #management
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... LV Failure (MI, myocarditis ... CCB, BB, BRASH syndrome ... Pneumothorax, Cardiac ... cytokine release syndrome
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... as a result of capillary ... necrosis STSS Treatment ... #Syndrome #STSS ... #treatment #management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Oliguria • Altered Mental ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #criticalcare #treatment
Clarkson’s Disease - Capillary leak syndrome Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
Clarkson’s Disease - Capillary ... published cases, Median ... tissues: Myalgia, paresthesia ... ) • IVIg 2 g/kg ... #diagnosis #management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Check serial lactates ... Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... Pts: cardiogenic shock ... and timing with Cardio-OB ... deteriorating on medical ... #cardiology #treatment
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Inflammatory Response Syndrome ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... fluids (30 mL/kg
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