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cardiology diagnosis treatment differential algorithm criticalcare endocarditis heartfailure shock amiodarone biopsy cardiogenic cardiomyopathy checklist clinical edema evaluation failure icu induced
Medical Management of Acute RV Failure • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... Embolism] • Evaluate ... rightventricular #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... disease or CHF) ... Control rate (e.g ... disease or CHF) ... Tachycardia #Treatment #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... embolism • Re-expansion ... contents • Head injury ... Traumatic brain injury ... differential #diagnosis #cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Medications, Spinal Cord Injury ... Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... algorithm #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF ... #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
acute cardiac injury ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
cytotoxic lung injury ... Acute toxicity (e.g ... Chronic toxicity (e.g ... embolism - ... #diagnosis #management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... embolus 3. ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Cerebral > Splenic, Pulmonary ... Septic emboli ... cause injury by ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
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