A Week in Review: Sept 18th - 23rd
Goes by new name: Calcium Pyrophosphate Dihydrate Drystal Deposition (ie. CPPD) or Acute Calcium Pyrophosphate crystal arthritis
Synovial fluid will have positive birfringent rhomboid or rod-shaped crystals (think P for "positive" and "pseudo") vs. the negative bifringent rod-dhaped crystals of gout.
Check out this review:
Quick Review of Papillary Muscle Rupture:
- Usually happens a few days after MI (rarely > 14 days post MI)
-: Patient uniformly presents in heart failure, with up to 60% in cardiogenic shock
-: Transthoracic echo usually adequate but may need transesophageal
-: – CT surgery emergently; intra-aortic balloon pump may help hemodynamics prior to surgery
Using TEE in cardiac arrest offers some unique benefits:
How well do you know your potassium and DKA?