Case: 62-year-old Woman with Fever & Epigastric Discomfort - Cardiology | Lecturio
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This video “Cardiac Case: 62-year-old Woman with Fever & Epigastric Discomfort” is part of the Lecturio course “Cardiology - Cardiovascular Cases” ► WATCH the complete course on lectur.io/cardiaccase2
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► THE PROF: Dr. Alpert is Professor of Medicine in the Department of Medicine and Director of Coronary Care and Medical Director of Cardiac Rehabilitation at the University of Arizona (UA) College of Medicine, Tucson, United States. Before joining the UA, he worked at the University of Massachusetts in Worcester as Professor of Medicine, Director of the Division of Cardiovascular Medicine, and Vice Chairman of Medicine. From 1992 - 2006 he was also Chairman of the Department of Medicine at the UA College of Medicine.
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Management of Cardiac Arrest
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Пікірлер: 10
She presented with high fever and severe upper quadrant pain. This was her chief complaint. I wonder why the focus was on the heart right away. She could have died from sepsis given that the initial management was ONLY on the cardiac event rather than covering her with antibiotics along with the cardiac management just to buy time against sepsis while waiting to stabilize before surgical intervention.
@user-vk7co6lt2i
4 жыл бұрын
Jonas Sharma Because ECG showed MI, which should be dealt with immediately, there’s no time to investigate other symptoms.
@jonassharma1
4 жыл бұрын
@@user-vk7co6lt2i Not investigate other symptoms. The infection could have caused or lead to sepsis and hypotension and precipitated the MI. An empiric antibiotic would have been in order. These things can be done simultaneously. Cant you do the ecg and other blood tests simultaneously so that the management is more balanced? Just suppose, SIRS ensued with consequent bleeding problems, the PCI would have been catastrophic.
@user-vk7co6lt2i
4 жыл бұрын
Jonas Sharma yes i guess you’re right, they could have given an antibiotic just in case. However, blood tests are much slower than ECGs.
@rumit9946
4 жыл бұрын
Don’t forget these are educational cases only. Not exactly representative of real life cases. In real life if she presented to an er everything would have been done simultaneously
@jonassharma1
4 жыл бұрын
@@rumit9946 Nice excuse. If this is educational, it should depict what must be actually done in real life. I wouldn't want to be handled by anyone of your students if I were the patient if that is the case.
Thank you for the insight
Thank you very much!