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differential management pulmonary bradi bradycardia bronchiectasis cardiology causes evaluation fuo hematology leukostasis lysis mnemonic nephrology origin perioperative preop preoperative renal
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Cough, Dyspnea, Fever ... • Labs: CBC, cr ... , C3, C4, anti-CCP ... • CXR (diffuse ... high resolution chest
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
- Differential Diagnosis ... Glucose/Temp • ACS ... • Drugs • ICP ... : Sarcoidosis, Amyloidosis ... • Post cardiac
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... - ACS, AKI, ... acid, Elevated Cr ... #TLS #diagnosis
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... e.g. incidental CXR ... General: fever, ... dyspnea, cough, chest ... neuropathy or cardiac
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... SPEP, ANA, anti-CCP ... • +/- ESR, +/- CRP ... Neuroimaging • Echocardiogram ... Origin #Workup #diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
run-down or tired • Fevers ... • Mounier-Kuhn syndrome ... Physical stigmata of cor ... parenchyma Diagnosis ... #differential #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... exam Determine Cardiac ... event, follow ACC algorithm ... postoperative cardiac ... stratification #diagnosis
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