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differential cardiology classification endocarditis pediatrics acidosis bleeding causes children cord cryoglobulinemia cryoglobulins disorders elevation evaluation failure hepatology history hypoxemic hypoxia
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
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
from contiguous focus ... Hepatic artery (e.g ... pediatrics #children #peds ... #differential #diagnosis ... #hepatology
Cryoglobulinemia Summary Cryoglobulins: • Cryoglobulins are Igs in the serum that precipitate in vitro at temperatures below
causing endothelial injury ... ) Meltzer's Triad ... : • Clinical triad ... Labs/Diagnosis: ... tissue disorder (e.g
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
treat spinal cord injury ... Spinal stenosis - Abscess ... - Infection (e.g ... patients with a long ... #differential #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Septic Emboli Cause Injury ... Differential Diagnosis ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... Cholesterol emboli syndrome ... 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 ... / hypoxemia -> focus ... - Compartment syndrome
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
Helpful Clinical Features in Evaluating Bleeding Disorders Age of onset • Neonate - in 20% of haemophilias,
Drug history, e.g ... non-accidental injury ... connective tissue, e.g ... Marfan syndrome, ... #pediatrics #diagnosis
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