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Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... New ischemia Noncardiac
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... #ChestPain #Noncardiac
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 ... New ischemia Noncardiac
Approach to Perioperative Cardiovascular Evaluation for Patients underqoinq Noncardiac Surgery
1. Emergent Surgery?
2. Risk Stratify eg NSQIP
3.
Patients underqoinq Noncardiac
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Select Bacteria: Nocardia ... Miliary #Pattern #Chest
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Necessitans (EN) on Chest ... coughed and now his chest ... previously removed chest ... erodes into the chest ... Staph, Strep, Nocardia
Nocardia on Culture and Respiratory Microscopy
 - Gram stain from plate culture: classic beaded, branching GPR
Nocardia on Culture ... richdavisphd #Nocardia
Paradoxical chest movement in Flail Chest 

Oscar Reyes @OR_ECMO

#Flail #Chest #clinical #video #physicalexam #trauma #thoracic
Paradoxical chest ... movement in Flail Chest ... OR_ECMO #Flail #Chest
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Cardiovascular Causes of Chest ... Pulmonary Causes of Chest ... Pain: • Chest ... Other Causes of Chest
An Algorithm for the Evaluation of Chest Pain #Diagnosis #Management #EM #IM #Chest #Pain #ChestPain #Evaluation
Evaluation of Chest ... Management #EM #IM #Chest