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Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
hyperbaric chamber • Descent ... Signs #Diagnosis #Management
High Altitude Cerebral Edema (HACE) Clinical • Encephalopathy • Ataxic gait • Severe lassitude
consciousness Management ... intervention • Descent ... Edema #Diagnosis #Management
Corneal edema with Descemet's folds; The folds can be visualized as dark, deep-appearing, criss-cross lines in
Corneal edema with Descemet's ... posterior stroma and Descemet's ... cornea #edema #descemet
High Altitude Cerebral Edema (HACE) Severe AMS with altered mental status, ataxia, and other neurological manifestations such
comatose THERAPY: 1) Descent ... L/hour 4) If descent ... HACE #diagnosis #management
Cornea Anatomy #Anatomy #Ophthalmology #Corneal #Bowmans #Descemets #Membrane
Corneal #Bowmans #Descemets
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent
HIGH ALTITUDE PULMONARY EDEMA (HAPE) • High altitude disease that kill most people • Incidence: severe
THERAPY 1) Rapid Descent ... hyperbaric chamber if descent ... HAPE #diagnosis #management
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
tachycardia - Absent x descent ... - Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary WHAT? • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... Northern European descent ... PMR #Diagnosis #Management
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