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diagnosis acid base disorders management rheumatology acidbase alkalosis aortic bloodgas cardiology causes clinical dissection dyspnea echocardiogram emergency erythematosus gas interpretation
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Base Disorders - Evaluation ... Do you need an ABG ... approximates an ABG ... adding ~0.05 to pH ... depression, Obstructive Lung
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... - Rapid saline infusion ... or restrictive lung ... disease (COPD, ... #differential
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Diagnosis Algorithm ... Cardiac: • Dysrhythmia ... • Interstitial lung ... Pleura: • Pleural effusion ... • Metabolic acidosis
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... Assess for high risk ... • Aortic valve disease ... • Cardiac surgery ... Pulse deficit/differential
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... 4 mph walk 3. ... exam Determine Cardiac ... event, follow ACC algorithm ... unless prior heart/lung
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... : • Pleural effusions ... 5% of patients Cardiac ... Cytopenias • Cardiac ... Thrombosis highest risk
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
thickening or effusion ... renal tubular acidosis ... phenomenon (16%) MSK ... Malignancy Risk ... MALT Lymphoma • Lung
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
of sudden cardiac ... structural heart disease ... Utility: • Syncope evaluation ... for sudden cardiac ... #cardiology #differential
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