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differential cardiology management causes edema endocarditis noncardiogenic amiodarone cheatsheet classification criticalcare elevation evaluation induced infectiousdiseases lactate lactic perioperative preop preoperative
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Framework NCPE ... level <100 pg/ml EKG ... distress syndrome (ARDS ... lung injury (TRALI
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
injury, leading ... to increased pulmonary ... consistent with pulmonary ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
Edema (NCPE) - ... Differential Diagnosis ... blood cells in the lung ... respiratory failure or ARDS ... #NCPE
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... liver or renal injury ... pulmonary edema ... peritonitis - Acute
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
injury • Indirect ... organizing pneumonia, ARDS ... toxicity (e.g., ... acute respiratory ... Chronic toxicity (e.g
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... Septic emboli cause injury ... ↑ ESR, CRP • EKG
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
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