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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Too slow • Pericardium ... - Water - Pus ... - Blood • Pleura ... : - Effusion ... Transverse myelitis • Hematology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... - A4C Pt sent to ... with rt/lt pleural ... #Tamponade #POCUS ... #clinical #cardiology
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... and no apparent focus ... accumulation (ascites, pleural ... effusion, pericardial ... effusion)
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... edema, bilateral pleural ... effusions). 1/5 ... pts w/ acute HF ... Jcortesizaguirr #HFrEF #heartfailure
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... the determined cause ... table #foamed #heartfailure
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... salivary ducts Clinical ... Xerotrachea • NSIP: Pleural ... thickening or effusion ... , INC risk PE, Pulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
syndrome): - Hematologic ... Treat underlying cause ... renal failure, pulmonary ... opacities, SOB, pleural ... effusions - Treatment