29 results
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cathepsin G release → vascular ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Cephalization
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... Dehydration Shock Treatment ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Heart Failure, Valvular ... Arrhythmias / CHB ... • Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
inflammatory lung injury, leading ... to increased pulmonary ... vascular permeability ... consistent with pulmonary ... detected on CT or CXR
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
principal varieties of pulmonary ... The vascular pedicle ... different forms of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Vascular