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management differential cardiology infectiousdiseases acidosis algorithm amiodarone atrial causes classification copd elevation exacerbation failure fusarium hypoxemic hypoxia induced infections lactate
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
for alternate diagnoses ... ventilated • CXR, Lung ... doppler, CTA • ECG ... #Exacerbation #treatment ... #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... to neurologic injury ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... recent DAN) • EMG ... sparing of the lung ... #differential #diagnosis ... #management #treatment
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
injury • Indirect ... starting amiodarone treatment ... Acute toxicity (e.g ... Chronic toxicity (e.g ... macrophages Treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... Septic emboli cause injury ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment
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 ... before beginning treatment ... output - Acute pulmonary
Fusarium Infections Acquired through: 1. Inhalation of airborne conidia > germinates > blood > disseminated 2. Trauma (implantation with
Refractory FUO, Sino-pulmonary ... disease: • Optimal treatment ... no prospective trials ... cases; triazole (e.g ... on the type of injury
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