14 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... - Differential Diagnosis ... (e.g., metastatic ... #Hemorrhagic #Pericardial ... #cardiology
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
clotting disorder, Malignancy ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... Hypoperfusion: Lumen (Bowel ... #algorithm
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... (+LR 2.6) - Cardiac ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... TIMI III flow in all ... major epicardial
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
death Pursuing a diagnosis ... patient should focus ... . cardiac arrest ... massive intracranial hemorrhage ... BrainDeath #Dead #Algorithm
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
- Differential Diagnostic ... Algorithm Ascites ... Bowel Dilatation ... Retroperitoneal Hemorrhage ... #Algorithm
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... pulmonary edema • Bowel ... injury, cerebral hemorrhage ... #cardiology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
erythematosus (ACLE ... Differential Diagnosis ... Diffuse alveolar hemorrhage ... Serositis: • Pleural/pericardial ... small and large bowel
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Non-Infectious (NTBE): • Malignancy ... : • New cardiac ... aneurysm • Splinter hemorrhages ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... stratification #diagnosis