39 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Heart Failure with Preserved ... #HeartFailure #PreservedEF
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Single <2 cm, Preserved ... nodules, <3 cm, Preserved ... unresectable, Preserved ... extrahepatic spread, Preserved
PAH vs. heart failure with preserved ejection fraction [HFpEF]
#Diagnosis #Pulmonary #Hypertension #PAH #Comparison #Table #HFpEF #DiastolicCHF
heart failure with preserved
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Heart Failure with Preserved ... failure and a preserved
The H2FPEF score and point allocations
for each clinical characteristic (top), with
associated probability of having heart failure
with
failure with preserved
Zones of Fingertip Injuries

Zone 1: Distal phalanx preserved 
Most of nail bed intact 

Zone 2: Distal
Distal phalanx preserved
Breast Anatomy - Arterial Blood Supply
The breast has a rich blood supply, which permits safe division
must therefore be preserved
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• Urinary (if preserved
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
Valvular Disease (Preserved
Severe Aortic Stenosis on POCUS

Calcified Aortic valve leaflets with minimal opening. LVH likely secondary to AS
reasonably well preserved