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management a4c cardiology clinical echocardiogram hepatology treatment behcet challenges comparison compartment constrictive coronary criticalcare differential disease embolism emergencies fluid hemeonc
Pulmonary Embolism with IVC Thrombus In Transit A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... artery filling ... enlargement, McConnell sign ... echocardiogram #a4c
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 Figure 2: Anatomical description of coronary perfusion in the A) PLAX, B) PSAX, and C) A4C. #Diagnosis
description of coronary perfusion ... ) PSAX, and C) A4C ... #Diagnosis #Cardiology ... #Coronary #Artery ... #Perfusion #Territory
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... Echocardiogram #a4c
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... Arterial blood gas (ABC ... 10 minutes of rest ... scanning or pulmonary ... hepatopulmonary #syndrome
Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
artery pressure ... via tricuspid regurgitant ... PPHTN • Peak tricuspid ... m/s • Other signs ... artery diameter
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... anti-GBM) Other tests ... LVEF, pericardial effusion ... increased DLCO after
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Venous disease (SVC ... infarction, coronary artery ... aneurysms Diagnosis ... is a skin prick test ... #signs #symptoms
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
decompression SVC ... hours-to-days post-infusion ... renal failure, pulmonary ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... • PULMONARY A ... precede other signs ... response to the rapid infusion ... Tolerance #testing #diagnosis
Compartment Syndrome Pearls A vicious cycle of increased pressure within a facial compartment leading to compression of
Compartment Syndrome ... Tissue pressure >> perfusion ... PAIN is key, the rest ... are late signs. ... absence of other signs
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