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cardiology management differential 1: amyloid amyloidosis clinical contrast cryofibrinogenemia doubleshunt evaluation hematology hepatology hypertension infectiousdiseases intrapulmonary perioperative portopulmonary preop preoperative
Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
arterial hypertension ... Transthoracic echocardiogram ... ventricular size, Right atrial ... of ventricular septum ... 2) DIAGNOSE -
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
palpable purpura 2/ ... 2 vasculitis, ulcers ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
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 Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
cryoglobulin (CG ... Primary (essential) 2. ... thrombophlebitis, pulmonary ... including retinal arterial ... necrosis • DIC • Septic
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Diagnosis Framework ... Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... tumor embolism Septic ... ↑ ESR, CRP • EKG
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... - Cataract Plan ... days before Pulmonary ... CARP, DECREASE V trials ... stratification #diagnosis
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion 2. ... LVH, low-voltage EKG ... • Echocardiogram ... disproportionate atrial ... salivary glands, or rectal
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