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diagnosis cardiology management algorithm cardiogenic causes classification clinical complex dcsi detroit echocardiogram effusion elevation evaluation initiative lactate lactic perioperative preop
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... oliguria, lactic acidosis ... Obtain femoral arterial ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... #Effusion #Cardiac ... #clinical #cardiology
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 Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential ... by excretion (e.g ... its metabolism (e.g ... or diagnostic tests ... perfusion - Cardiac
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... anti-GBM) Other tests ... EGPA (↓ LVEF, pericardial ... recent DAN) • EMG
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... determine if stress test ... indicated • EKG ... Obtain EKG if: ... - Cataract Plan
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