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diagnosis differential cardiology amiodarone criticalcare electrocardiogram elevation endocarditis evaluation induced nodule perioperative polymorphic preop preoperative risk segment shock st stelevation
Lung Nodule - Differential Diagnosis Algorithm Nodule on > 2 Years Without a Change in Size: •
Diagnosis Algorithm ... Benign Neoplasm (eg ... cannonball lesions"; Eg ... Tuberculosis • Septic Embolism ... #Causes #Pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... #criticalcare #algorithm ... #treatment #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... Embolism: • T-wave ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Recurrent Polymorphic VT ... Torsades de Pointes - Management ... Algorithm Drugs ... 1b (lidocaine)- case ... #Algorithm
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Acute toxicity (e.g ... Chronic toxicity (e.g ... Exclude other causes ... embolism - ... #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung
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