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amiodarone cardiomyopathy chest chestpain contusion ctchest differential endocarditis evaluation induced perioperative peripartum preop preoperative radiology risk stratification toxicity toxicology treatment
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Diagnosis Framework ... Vascular: - Aortic ... - Tamponade Pulmonary ... Gastritis - PUD ... #Causes #Cardiology
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... , and exudative ... Pleuritic chest pain ... Exclude other causes ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... CA • Involves aortic ... Cerebral > Splenic, pulmonary ... Treat underlying cause ... #management #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy • Pulmonary ... angiogenic factors + oxidative ... exertion, orthopnea, PND ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
breath and chest pain ... located chest pain ... This post will focus ... Most commonly caused ... #Lung #Pulmonary
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