11 results
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Valsalva Response - Elevated ... Respirations - S3 ... diagnosis #cardiology #CHF
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Myocardial Injury - Elevated ... Diagnosis and Workup Algorithm ... Tachycardia-induced HF ... Occlusion • Stable ... Myocardial #Injury #Elevated
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... pulmonary disease or CHF ... underlying cause #Stable ... management #cardiology #algorithm
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Specific Signs: elevated ... abdominojugular, reflux s3 ... 81% for acute HF ... 5 pts w/ acute HF ... #pharmacology #sCHF
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... Interstitium • ILD • CHF ... Differential #Diagnosis #Algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: Age>60, CKD, CHF ... resp distress, elevated ... diagnosis #comparison #table
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... syndrome, Congestion/CHF ... specificity to elevated ... differential #diagnosis #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Troponin may be elevated ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... disease b) CHF ... event, follow ACC algorithm ... Stable patients
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
reaction to an elevated ... are typically able ... clinica l#foamed #algorithm