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differential cardiology management criticalcare ekg electrocardiogram abdominal ecg edema endocarditis ncpe noncardiogenic acutepe amiodarone avr cheatsheet chf clinical diffuse distention
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
inflammatory lung injury ... leading to increased pulmonary ... Berlin criteria ... the underlying cause ... Summary #CheatSheet #Diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... distress syndrome (ARDS ... edema • Bowel ... #cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm Look for surgical abdomen Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Algorithm Look ... : R/O cardiac, pulmonary ... Metabolic disease (e.g ... #Algorithm
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... Subepicardial atrial injury ... aVR • Classic EKG ... #ekg #differential ... #cardiology
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
- Differential Diagnosis ... Traumatic brain injury ... capillaries • Criteria ... failure or ARDS ... volume, decreased bowel
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
Hypertensive Emergency criteria ... mm is needed to cause ... kidney injury ( ... - Pulmonary edema ... #Algorithm #CriticalCare
Abdominal Distention - Differential Diagnostic Algorithm Ascites Bowel Dilatation Other Causes Mechanical Obstruction • Adhesions 60% • Volvulus 3% •
Algorithm Ascites ... Bowel Dilatation ... Other Causes ... Pseudo-obstruction Acute ... Sclerosis, Spinal Injury
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
cytotoxic lung injury ... organizing pneumonia, ARDS ... pleural effusions • Acute ... acute respiratory ... Exclude other causes
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Injury By: • Early ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG
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