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diagnosis cardiology management bradycardia causes checklist clinical criticalcare endocarditis evaluation perioperative syncope treatment anesthesia anesthesiology chf cost delirium effectiveness effusion
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... indications: • Echocardiogram ... • Head CT • Carotid ... • Brain MRI • EEG
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
- CBC with differential ... Relevant drug levels (e.g ... appropriate Consider CT ... of infection (fever ... rigidity) Consider EEG
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... hematology #diagnosis #algorithm
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... release assay (e.g ... ESR, +/- CRP • CT ... Neuroimaging • Echocardiogram
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... • Malignancy (e.g ... Mediterranean fever ... #Diagnosis #cardiology
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 ... malignant syndrome (e.g ... #Hyperthermia #Differential
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT ... o infection • Echocardiogram ... recent DAN) • EMG ... seen on chest CT
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... • Infections (e.g ... diphtheria, typhoid fever ... #Diagnosis #cardiology
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm Maternal Bradycardia:
Tachycardia - Differential ... Diagnosis Algorithm ... congenital heart block (e.g ... Vagal stimulation (e.g ... Tachycardia: • Fever
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... : • New cardiac ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers
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