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management differential workup algorithm cardiology chest criticalcare lung pain treatment accessories amiodarone anesthesia anesthesiology boop checklist chestpain chf clinical colonoscopy
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
- Differential Diagnosis ... Pericarditis - Tamponade ... Pulmonary Causes ... • Pleura: - Effusion ... #Differential #Diagnosis
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Constrictive - Tamponade ... Pulmonary Causes ... • Pleura: - Effusion ... Vasculature: - PE ... #causes #pulmonary
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac tamponade ... EKG • Bedside ultrasound
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Associated Lung Ultrasound ... pleura in severe cases ... Possible bilateral effusion ... #differential #diagnosis ... #Lung #POCUS #ultrasound
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... pericarditis, Pericardial Tamponade ... - Pulmonary ... >> Acute PE, Tension
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Unknown • 6-7 cases ... per 100,000 hospital ... Rare: pleural effusions ... #ILD #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... JVD, Orthopnea/PND ... importantly, bedside ultrasound ... with presence of pulmonary ... the determined cause
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
rate, rhythm, perfusion ... o Cardiac tamponade ... Sepsis → 3-14 o Malignant ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Dose ≥ 400 mg per ... exudative pleural effusions ... pneumonitis Diagnosis ... Exclude other causes ... embolism - Malignancy
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... Disease: • 10%-15% Pulmonary ... thickening or effusion ... , INC risk PE, Pulmonary ... and Arthritis Malignancy
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