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diagnosis cardiology clinical management endocarditis plax pocus a4c algorithm anesthesia anesthesiology checklist embolism intraoperative lv mitral psax thrombus vascular workup
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Clips 1 and 2 demonstrate ... mobile mitral valve ... consistent with a vegetation ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
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 Arrhythmias - Differential Diagnosis Algorithm May present as: palpitations, dizziness, syncope, chest discomfort Cardiac Causes: - Structural
Arrhythmias - Differential ... chest discomfort Cardiac ... • Valve disease ... previous MI) Non-Cardiac ... Arrhythmias #Cardiology #Differential
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... Angiography or Cardiac ... - Most Common Cause ... PFO, ASD, h/o of cardiac ... Embolism #diagnosis #differential
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... - Most common cause ... endocarditis (vegetations ... atrial myxoma)/ball valve ... #diagnosis #differential
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Clinical #POCUS #Echocardiogram ... #Cardiac #PLAX ... AorticValve #Aorta #Vegetation
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... : • New cardiac ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... reservoir bag and APL valve ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Bradycardia Cardiac ... syndrome • Aortic Valve ... /Valve surgery ... #diagnosis #causes
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... perfusion: • Cardiac ... Urethral stricture/valves ... Postrenal #Failure #Differential
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Arterial Thrombosis - Differential ... from prosthetic valves ... - Infected cardiac ... valves (septic ... coagulation and other causes
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