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differential cardiology treatment causes myocarditis perioperative pulmonary summary workup abscess adrenalmass alteredmentalstatus anesthesia anesthesiology carcinoma checklist clinical confusion criticalcare delirium
Management Algorithm for Confusion - Substrate verification, glucose, oxygen checks - Toxidrome present - Focal findings on neurologic examination -
Management Algorithm ... examination - Fever ... electrolytes, CXR, ECG ... include cranial CT ... , ABG, CSF, thyroid
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Algorithm Suggestive ... Weighted MRI — DO NOT Biopsy ... Releasing Carcinoma (e.g ... Other Source (e.g
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Endomyocardial biopsy ... gallop • Abnormal ECG ... , echocardiogram ... #Management #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Presentation: - Fever ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary Clinical features - Classic triad (flank pain, hematuria,
and Management ... night sweats, fever ... Percutaneous renal biopsy ... Recombinant cytokines (e.g ... kinase inhibitors (e.g
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Actively maintained fever ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... syndrome (e.g. ... #Management #Workup
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
release assay (e.g ... ESR, +/- CRP • CT ... Biopsy - Temporal ... Neuroimaging • Echocardiogram ... Origin #Workup #diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
: • 80% have fever ... seen • Chest CT ... Intervention: - Fevers ... • Vasculitis (e.g ... polyangiitis) • Malignancy
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... o infection • Echocardiogram ... recent DAN) • EMG ... of PRS: Biopsy ... #management #treatment
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Non-Infectious (NTBE): • Malignancy ... night sweats, fever ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers ... #management #cardiology
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