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diagnosis comparison management clinical cardiology differential algorithm pocus table pharmacology ultrasound echocardiogram treatment criticalcare hematology ebm pathophysiology rheumatology neurology radiology
Inferoseptal Ventricular Septal Rupture (VSR) with RV dilatation on Cardiac MRI 60 y/o with chest pressure few
Septal Rupture (VSR ... SeptalRupture #VSR
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 Calcium Channel Blockers - Dihydropyridines vs Non-Dihydropyridines Dihydropyridines (amlodipine, felodipine, nifedipine, nicardipine) • SVR: Decrease • Inotropy:
Dihydropyridines vs ... nicardipine) • SVR ... verapamil) • SVR
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... > fast or slow SVR
Failure to Thrive - Evaluation Checklist • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
neglect • Exam: VS ... Vit D, ECG, CXR, ESR
Patch dehiscence (post surgical correction of congenital VSD) on Echocardiogram Ivan Stankovic, MD, PhD @Ivan_Echocardio #VSD #Patch #dehiscence
of congenital VSD ... Ivan_Echocardio #VSD
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 Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Low CO / High SVR
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
rates with 5ASA vs ... Probiotics: • VSL ... coli Nissle • VSL ... remission with 5ASA vs
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR ... Increases BP, SVR ... Increases HR, SVR ... Increases BP, SVR ... vasoconstriction, SVR
Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) Here is a graphic on ESR and CRP. What
Sedimentation Rate (ESR ... is a graphic on ESR ... What can cause an ESR ... @AnnKumfer #ESR
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