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diagnosis treatment acidosis algorithm cardiogenic cardiomyopathy causes chestpain classification clinical complex dcsi decisionaid detroit echocardiogram effusion elevation endocarditis evaluation initiative
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - A4C ... K 5.9 without EKG ... #Effusion #Cardiac ... #clinical #cardiology
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 Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... EGPA (↓ LVEF, pericardial ... recent DAN) • EMG ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... to bolus these values ... perfusion - Cardiac
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
troponin test and ECG ... single troponin value ... Obtain an ECG at ... #Management #PatientInfo ... #Cardiology #ChestPain
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