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diagnosis cardiology dissection encephalopathy endocarditis evaluation indications perioperative posterior preop preoperative reversible risk stratification summary syndrome tpa treatment
Aortic Dissection - Diagnosis and Management Summary • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... have concurrent stroke-like ... symptoms • Risk ... FHx • Imaging: CTA ... MH/CCF/CWRU EM Res
Indications for tPA in Stroke: • Clinical diagnosis of ischemic stroke • Measurable neurologic deficit •
• Measurable neurologic ... deficit • Onset of symptoms ... present, in which case ... #cva #management ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Neurological symptoms ... narrowing on MRA/CTA ... Constipation, Seizures, Stroke ... Syndrome #diagnosis #management ... #neurology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Gastric & Ovarian CA ... • Involves aortic ... Regurgitation • Colon CA ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... Skin exam for infection ... b) CHF c) CVA ... • <6mo since stroke ... medical and surgical management
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