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Cardiology Case Presentation

Transcript: Treatment Plan An effective treatment plan is crucial in managing cardiac conditions. It encompasses initial strategies, medication regimens, possible surgical interventions, and necessary follow-up care. Diagnostic Tests Conducted The patient underwent a series of diagnostic tests, including an ECG, echocardiogram, and stress testing. These tests are vital in evaluating heart function and guiding treatment decisions effectively. Follow-up Care Initial Treatment Strategies Follow-up care is essential to monitor the patient's recovery and effectiveness of the treatment plan. Regular appointments help track progress, adjust medications, and reinforce lifestyle changes for sustainable heart health. The initial treatment strategies for cardiac patients may include lifestyle modifications such as dietary changes, increased physical activity, and smoking cessation. These strategies aim to reduce risk factors and improve overall heart health. Medical History Symptoms and Diagnosis Patient Case Study Presenting symptoms include chest pain, shortness of breath, and fatigue. Based on these indicators, a diagnosis of unstable angina was established, showcasing the critical nature of symptom assessment in cardiology. The patient has a history of myocardial infarction five years prior and underwent angioplasty. A review of previous treatments emphasizes the necessity of ongoing monitoring and adherence to prescribed medications for cardiovascular health. In this section, we will analyze a detailed case of a patient with cardiac issues, focusing on their background, medical history, symptoms, diagnosis, and the tests undertaken. This case highlights the complexities of cardiac care and the importance of thorough investigation in cardiology. Medications Prescribed Patient Background Common medications prescribed for cardiac patients include beta-blockers, ACE inhibitors, and statins. These medications help manage blood pressure, lower cholesterol levels, and prevent blood clots, essential for reducing cardiovascular risks. The patient is a 65-year-old male with a sedentary lifestyle, presenting with risk factors including hypertension and diabetes. This demographic is significant as age and comorbidities play crucial roles in cardiac health outcomes. Surgical Interventions In some cases, surgical interventions such as angioplasty, stent placement, or bypass surgery may be necessary. These procedures aim to restore blood flow and address structural heart issues effectively. Introduction to Cardiology Objectives of the Presentation Understanding cardiology is essential, as cardiovascular diseases remain a leading cause of morbidity and mortality worldwide. This section outlines key concepts in cardiology, emphasizing the significance of cardiac health and common cardiac diseases. This presentation aims to provide a comprehensive understanding of cardiology, including definitions, disease overview, and the significance of cardiac health. Key findings from a case study will be highlighted to illustrate practical applications. Treatment Efficacy Overview of Cardiac Diseases Definition of Cardiology The treatment efficacy in this case was initially assessed through symptomatic relief and significant improvements in diagnostic metrics. Patients reported a reduction in symptoms such as chest pain and shortness of breath, indicating successful intervention strategies. Outcomes and Follow-up Cardiac diseases encompass various conditions, including coronary artery disease, heart failure, arrhythmias, and valvular heart diseases. These conditions can lead to significant health complications, affecting both quality of life and longevity. Cardiology is the branch of medicine that deals with the functions, disorders, and diseases of the heart and blood vessels. It encompasses a wide range of topics, from diagnosis to treatment and prevention of heart-related diseases. Patient Recovery Journey Importance of Cardiac Health This section examines the treatment efficacy and patient recovery journey, highlighting long-term management strategies and lessons learned to improve future cardiac care. Cardiology Case Presentation Following treatment, the patient demonstrated a progressive recovery, marked by gradual increases in physical activity and improvements in overall well-being. Regular consultations facilitated timely adjustments to the treatment plan, further enhancing recovery outcomes. Cardiac health is crucial, as cardiovascular diseases account for nearly 32% of all global deaths. Lifestyle choices, regular check-ups, and early intervention can dramatically reduce risk factors and improve overall heart health. Lessons Learned Long-term Management Key lessons from this case include the importance of individualized treatment plans and the ongoing education of patients about their conditions. Continuous patient engagement proved essential in improving health outcomes and compliance with treatment. The longitudinal management of the

Templates Presentation

Transcript: 1- The user creates a New Space 2- During some time it's modified according to the project needs 3- As the space results useful for a whole company or area the user decides to ask for saving it as Template 4-The Collaborate Team takes care of this process 5- The new process covers the Analysis of the Space that we should save as Template and the Estimation to finish it. 6- Also we should contemplate the current release dates to provide the user the go live Date Save Templates with Content Some Issues are: New Process: 1- URLs that are inherited Some items to take in care to know in which Release the Template will go live: Templates Creation Process Columns Duplicated that couldn't be removed Current Process: Advantages and Disadvantages Features that couldn't be enable Content Type Duplicated that couldn't be removed 1- The user creates a New Space 2- During some time it's modified according to the project needs 3- As the space results useful for a whole company or area the user decides to ask for saving it as Template 4-The Collaborate Team takes care of this process, but during it we usually face some issues Duplicated Content Type This Process will be easier if... - The Site Collections are aligned - The user doesn't modify the Template meanwhile the support team is working on it - If the changes are planed with time Missing Features Issues Estimation: Duplicated Columns Hidden Features 1-The complex of the data inside the Space and its estimation. 2-The issues that we found testing it and the estimation related to them . 3- We will accept simple changes until 7 days before the first INT deploy. 4- Once we passed the limit to request changes the Template will go live in the Next Release. 5- If the user request new Changes after the first INT deploy they will be performed to the next release. .Dotx files required - Old Library Template

Cardiology Presentation

Transcript: Severe COPD vs COPD exacerbation Acute respiratory insufficiency / distress Acute respiratory failure Chronic respiratory failure Acute on chronic respiratory failure COPD 93 yo female presented to HTH with chest pain and was transferred to SMH with a possible STEMI. DIAGNOSES #1 ACS with LV dysfunction of the anterior and apical wall #2 Acute moderate pulmonary edema After clarification: #1 Non-ST-segment elevation myocardial infarction #2 Congestive heart failure, resolved, secondary to atrial fibrillation and non-ST-segment elevation myocardial infarction “Acute systolic heart failure” Acute Coronary Syndrome FINAL PRIMARY DIAGNOSIS #1 Acute on chronic heart failure, diastolic, Left and Right sided. ADDITIONAL DIAGNOSES #1 Acute on chronic respiratory distress #2 Bilateral pulmonary edema #3 Hyperlipidemia #4 Hypertension #5 Acute renal failure, possibly acute on chronic Acute Renal Failure with Acute tubular necrosis #6 Controlled Diabetes Mellitus, Type 2 with peripheral neuropathy and retinopathy #7 Paroxysmal atrial fibrillation, no RVR, anticoagulated #8 Obesity, BMI 37 Summary Diagnoses #1 Paroxysmal atrial fibrillation with rapid ventricular response #2 Acute on chronic left ventricular diastolic heart failure secondary to cardiac amyloidosis #3 Cardiac amyloidosis #4 Chronic pericardial effusion #5 Cough #6 Right lower lobe pulmonary infiltrate We will continue a Levaquin antibiotic therapy initiated on January 7 for a total length of five days to cover possible community-acquired pneumonia. #7 Chronic kidney disease stage 3 #8 Gout Cardiology Documentation Improvement Chief Complaint Dyspnea, shortness of breath History of Present Illness Mrs. Doe is an 85 yo woman who has had significant SOB and hypoxemia for the past year. History of diastolic heart failure and chronic COPD. She is currently on 3 L oxygen all day due to hypoxemia. She was seen in heart failure clinic today and was admitted for IV diuresis. O2 sat at 86% on RA at rest. Fatigue with noticeable exacerbation from baseline dyspnea. BMI 47 kg/m2 Unstable Angina NSTEMI - date STEMI - name wall location & date Acute Coronary Syndrome CHRONIC OBSTRUCTIVE PULMONARY DISEASE (C O P D) Severity / Acuity Documentation Document all diagnosis to the highest specificity Document all medical conditions that are monitored, evaluated, or treated "Hypokalemia" "Hyponatremia" "Pancytopenia" Document the cause or probable cause of a symptom as specific as possible. "Acute blood loss anemia related to GI bleed" Document any diagnosis confirmed by lab tests, radiology exams, pathology reports. Use ACUTE instead of extreme or severe "Acute Endocarditis" "Acute Pulmonary Embolism" "Acute Myocardial Infarction, type, vessel, date of MI" FINAL PRIMARY DIAGNOSIS #1 Unstable angina due to ....... (link cause) ADDITIONAL DIAGNOSES #2 Coronary artery disease, LAD predominance #3 History of dilated cardiomyopathy, possibly secondary to chronic alcohol abuse "Alcoholic Cardiomyopathy" #4 Transfusion dependent iron deficiency anemia #5 Pancytopenia #6 Tobacco dependence #7 Medication noncompliance #8 Malnutrition, BMI 17.5 Acute / Chronic Respiratory Failure Summary Diagnoses Excellent Documentation FINAL PRIMARY DIAGNOSIS #1 Acute on chronic left diastolic heart failure ADDITIONAL DIAGNOSES #2 Acute on chronic respiratory failure #3 COPD exacerbation #4 Uncontrolled hypertension #5 Paroxysmal atrial fibrillation #6 Hypokalemia, chronic, likely due to Lasix use #7 Acute kidney injury, pre-renal due to diuresis #8 Diabetes Type 2, uncontrolled #9 Morbid Obesity, BMI 47 kg/m2 Final Take Away Message Avoid Documenting ACS when indicating MI Document severity of COPD Exacerbation Respiratory failure / Insufficiency Acute / Chronic Link symptoms to cause Capturing Severity and Risk of Mortality Acute Coronary Syndrome Clarification Summary Diagnoses Good Example Cardiology Admission Note IMPRESSION/REPORT/PLAN (resident) #1 Likely non-ST-segment elevation MI #2 Systolic heart failure, Ejection fraction of 17% Consultant’s note: ( x 3days) #1 Possible acute coronary syndrome with positive troponin At this point, we will treat her as an acute coronary syndrome and continue to follow her on monitor and with cardiac biomarkers. After clarification: #1 Non-ST-segment elevation myocardial infarction #2 Compensated biventricular systolic heart failure Ms. XXX ultimately ruled in for non-ST-segment elevation myocardial infarction Sharon Axtman, RN Cristina Rosero de Ruales, RN Acute Coronary Syndrome

Cardiology presentation

Transcript: Cardiology 11- 16- 2018 Case report HINT! INTRO TODAY'S SCHEDULE Ventricular Tachycardia 1. Basic Pathology 2. Risk factors & Symptoms 3. Diagnosis & Treatment 4. Case What? The Pathology Ventricular Arrhythmia Ventricular Arrythmia Types Types of VT Non-Reentrant VT * Ventricular pmc fire at higher rate, prevent SA node from firing ---> ventricular beats drive the HR * Due to: - Drugs (Amphetamine, cocaine etc) - Electrolyte imbalance - Myocardial ischemia in ventricle Reentrant VT (more common type) * Dead cells in myocardial tissue ---> Scar formation --> conduction signals go around scar --> Reentry Risk factors & signs Why? Risk & Symptoms Risk factors * Age * Cardiac disease (eg CMP, VD, post mi) * Electrolyte imbalance (Hyperkalemia) * Drugs (Cocaine) * Pericardial inflammation Symptoms * Chest pain * Shortness of breath * Dizziness * Syncope * Low BP Diagnosis * Serum electrolytes - K+ - Ca++ - Mg+ * ECG - Rate: >100 bpm - P-waves: Absent or Present- - T-waves: Large - QRS complex: Wide (>0,12 s) Diagnosis Treatment TREATMENT MEDICATION * Beta-blockers * Amiodarone * NDHP Ca++ ch. Blockers OTHER * Cardioversion * ICD Who? CASE Anamnesis: * Age: 51 * Sex: Female * Wide QRS * EF 35% --> 45% after medication * Hypokinetik inf. lat. & apical wall * Left ventricular edv 85 ml, 41mm * left ventricular systolic volume 47, 32mm * No pericardial fluid * MRI found scar Lab results * Troponin: Negative * Hc: Elevated * RBC: Elevated * WBC: Elevated * ALP: Elevated * Uric Acid: Elevated * K+: Slightly elevated

Cardiology Presentation

Transcript: What is a Cardiologist? -Focus on continuing care of patients. What does a day in a life of a cardiologist look like? First, they walk in their office. Then, they see their first patient of the day. After they meet their first patient, they ask about symptoms that the patient is exhibiting. Once the symptoms are known, the doctor starts to diagnose the patient by thinking how the symptoms relate to a disease. If needed, medical tests such as an echocardiogram or an angiogram are done in order to diagnose the patient. When the doctor arrives at a diagnosis, they tell the patient what it is and how to treat it. The doctor then advises the patient which treatment to take. Treatments include the usage of medication, a change in lifestyle, or even a medical procedure. The doctor will do this for about 4 or 5 more patients. The doctor might even take part in a procedure such as a radiofrequency ablation. First, the person completes undergraduate school (4 years) with an emphasis on science-related classes. Then, the pre-med student goes through medical school for four years. Then the doctor goes through a fellowship (2 years) with cardiologists to know the specifics of the field. Then the student becomes the cardiologist. What colleges offer these programs? Many colleges offer undergraduate programs in science, and even some offer pre-medicine programs. There also exist many medical schools in the United States, as well as the world. Once completing medical school, the medical school arrange a residency for you. A residency is completed at the hospital that the medical school chose for you. A cardiology fellowship is offered at many hopsitals. A radiofrequency ablation is used to treat SVT (Superventricular Tacchychardia) The success rate of a radiofrequency is over 90 percent. I personally have had this procedure, and I had no complications from it. Current Research being done in Cardiology... Dysfunctions in the diabetic heart. Risk factors for heart disease. The effects of kidney disease on the heart. or non-invasive (echocardiographies) A cardiologist normally sees patients with heart issues. "Radiofrequency Ablation". American Heart Association. 8.29.10 <http://www.strokeassociation.com/presenter.jhtml?identifier=4682>. Salamon, Maureen. "Do I Need to See a Cardiologist?". about.com. 8.29.10 <http://heartdisease.about.com/lw/Health-Medicine/Conditions-and-diseases/Do-I-Need-to-See-a-Cardiologist-.htm>. Cardiology is the field of medicine that studies and treats the heart. - A Cardiologist is a doctor that deals with heart problems. Then the post-medical student goes through a residency (3 years) at a hospital. What is the success rate of a radiofrequency ablation? -They also insert permanent and temporary cardiac pacemakers Cardiology Tim Klincewicz What kind of patients does a cardiologist see? Works Cited tests in order to diagnose patients. A normal cardiologist does not see patients under 18 years old. "Cardiologist". Schoolsintheusa.com. 8.29.10 <http://www.schoolsintheusa.com/careerprofiles_details.cfm?carid=508>. How many years of schooling does a Cardiologist need? What is Cardiology? Cardiology is the field of science that studies the heart and its associated functions. Cardiology is the field of science that studies the heart and its associated structures. Patients may range from deathly sick to not showing symptoms. "Cardiologist: Job Duties". degreedirectory.org. 8.29.10 <http://degreedirectory.org/articles/Cardiologist_Job_Duties_Occupational_Outlook_and_Education_Prerequisites.html>. -They use invasive (angiographies),

PowerPoint Game Templates

Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.

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