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cardiology clinical echocardiogram diagnosis alternans electrical pericardial psax a4c acidosis akinesis algorithm amiodarone anterior cardiogenic causes checkpointinhibitors classification dcsi detroit
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
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 Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
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 Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
is mesmerizing: Malignant ... effusion in a young ... alternans on the ECG ... PericardialEffusion #Clinical #POCUS ... ElectricalAlternans #Cardiology
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 Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #PLAX #MMode
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 Pulmonary complications of targeted therapy -Immune checkpoint inhibitors (e.g. pembrolizumab) -Pneumonitis is uncommon (~5% of patients) but can
checkpoint inhibitors (e.g ... a diagnosis of exclusion ... infection and malignancy-associated ... reports of pleural effusion ... Clinical #Diagnosis #Radiology
Anterior Hypokinesis on POCUS Echocardiogram A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... EKG unremarkable ... This was her EKG ... Confirmed to have LAD occlusion ... #Hypokinesis #POCUS
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 Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... www.ncbi.nlm.nih.gov/pmc ... / hypoxemia -> focus ... drugs, seizures, malignancy
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Non-Infectious (NTBE): • Malignancy ... due to vascular occlusion ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
exudative pleural effusions ... Acute toxicity (e.g ... Chronic toxicity (e.g ... embolism - Malignancy ... Pulmonary #diagnosis #management
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