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diagnosis cardiology anesthesia anesthesiology checklist differential workup intraoperative myocarditis tamponade treatment complex criticalcare echocardiogram effusion neurology pericardial pharmacology pocus summary
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
• Clinical presentation ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #cardiology #MRI
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... #management #diagnosis
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... injury 4. ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Quadricuspid Aortic Valve on Cardiac MRI with Severe Aortic Regurgitation 54 yo/ severe aortic regurgitation. CMR
Aortic Valve on Cardiac ... MRI with Severe ... CMR showing quadricuspid ... Regurgitation #CardiacMRI #clinical ... #cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... • Call for cardiac ... Plan definitive management ... Checklist #Diagnosis #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... inflammatory lung injury ... detected on CT or CXR ... objective assessment“ (e.g ... the underlying cause
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... differential #diagnosis #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... Traumatic brain injury ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest, start CPR ... alternate vasopressor (e.g ... an appropriate critical ... Checklist #Diagnosis #Management
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