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diagnosis algorithm cardiology myocarditis vision blurry cardiomyopathy cardiotoxicity chemotherapy chronic diplopia doublevision dysphagia evaluation falls geriatrics her2 loss neurology nutrition
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• Neurologic symptoms ... • Ischemia • Diabetes ... • Ischemia • Diabetes ... • Ischemia • Diabetes ... #Ophthalmology
Dysphagia Differential Diagnosis Algorithm Oropharyngeal Dysphagia Structural • Tumors • Zenker's Diverticulum • Foreign Bodv Neuromuscular Toxic/Metabolic • Myasthenia
Dysphagia Differential ... Intermittent Symptoms ... Achalasia • Diabetic ... #Dysphagia #Differential ... Diagnosis #Algorithm #Causes
Causes of Myocarditis Infectious Etiologies: • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Causes of Myocarditis ... Etiologies: • Toxins: Anthracyclines ... Churg-Strauss syndrome, Diabetes ... #Myocarditis #differential ... diagnosis #cardiology #causes
Vision Loss - Differential Diagnosis Chronic: - Cornea: Scarring, Edema - Lens: Cataracts
Vision Loss - Differential ... degeneration - Retina: Diabetic ... #Vision #Loss #Differential ... #Diagnosis #causes ... #ophthalmology
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Blurry Vision - Differential ... degeneration • Diabetic ... hyperviscosity syndrome, diabetes ... #diagnosis #ophthalmology ... #causes
Chronic Vision Loss by Anatomic Location - Differential Diagnosis Algorithm Cornea: • Keratoconus • Stromal Scaring •
Anatomic Location - Differential ... Macular Edema: • Diabetic ... Chronic #VisionLoss #Differential ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Diagnosis and Causes ... ↑ "Right Sided-Symptoms ... Non-lnfiltrative: Idiopathic, Diabetic ... Cardiomyopathy #Diagnosis #Causes ... #differential #
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts caused ... changes and may cause ... Poorly controlled diabetes ... overload) Other Symptoms ... Syndrome #Nutrition #Differential
Causes of Myocarditis 1. Infectious Myocarditis • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Causes of Myocarditis ... insulin-dependent diabetes ... Amphetamines, anthracyclines ... more commonly cause ... #differential #
Management of Anthracyclines and HER2 Antagonist Cardiotoxicity Anthracyclines cause cardiomyopathy: ✖ Reduction in left ventricular ejection fraction
cause cardiomyopathy ... HER2 agents cause ... heart failure symptoms ... antagonist (MRA) plus diuretic ... hypertension, diabetes
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