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differential endocarditis management radiology appearance cardiology contrast criticalcare hepatic hepatology lesions liver acidosis algorithm aorticdissection aorticregurgitation challenges chest classification clinical
Appearance of Liver Lesions on Various Imaging Modalities • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... portal venous, T1 arterial ... - Early arterial ... Grayscale phase, Late arterial ... #comparison #table
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound ... • CBC, BMP, LET
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
- Early arterial ... Grayscale phase, Late arterial ... #Contrast #POCUS ... #differential #diagnosis ... #comparison #table
This is a parasternal long axis view of a young patient presenting with 3 days of
Beside ultrasound ... aortic root, and left ... atrium should roughly ... EM #Radiology #POCUS ... #CardiacUS #ParsternalLong
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... Libman Sacks) • Atrial ... : • New cardiac ... Septic Emboli Cause ... ↑ ESR, CRP • EKG
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Features of Non-Bacterial ... Predilection for left-sided ... in up to 30% of cases ... #Endocarditis #comparison ... #table
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac ... ’s • Reduced Arterial
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... - ↓ Effective arterial ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... : • New cardiac ... ↑ ESR, CRP • EKG ... Treat underlying cause
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Arterial Line: ... Point of Care Ultrasound ... output causes increases ... measurement using arterial ... #criticalcare #comparison
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