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Constriction
- 1. DC Fellows Forum Raj Khandwalla M.D. Georgetown/Washington Hospital Center
- 6. Laboratory Assessment: 1.6 11.3 – 13.3 INR 33.6 22.1 – 35.1 Partial-thromboplastin time (sec) 118 150,000 – 300,000 Platelet Count (per mm 3 ) 4.5 0 – 8 Eosinophils 17.6 4 – 11 Monocytes 37.5 22 – 44 Lymphocytes 40 40 – 70 Neutrophils Differential Count (%) 4.0 4,500 – 11,000 White-cell count (per mm 3 ) 36.2 41.0 – 53.0 Hematocrit (%) 12.3 13.5 – 17.5 Hemoglobin (g/dl) HEMATOLOGY ON ADMISSION REFERENCE RANGE TEST
- 7. Laboratory Assessment: 218 0.0-99 Brain Naturitic Peptide (pg/ml) 1.3 0.6 – 1.5 Creatinine (mg/dl) 22 8 – 25 Urea nitrogen (mg/dl) 24 23.0 – 31.9 Carbon dioxide (mmol/liter) 107 100 – 108 Chloride (mmol/liter) 4.3 3.4 – 4.8 Potassium (mmol/liter) 140 135 – 145 Sodium (mmol/liter) CHEMISTRY ON ADMISSION REFERENCE RANGE TEST
- 9. Tracings
- 10. Tracings
- 11. Tracings
- 12. Tracings
- 13. Tracings
- 14. Tracings
- 15. What is the differential diagnosis for these tracings? How do we make the diagnosis?
- 16. Tracings
- 17. Tracings
- 18. Ventricular Interdependence Restrictive Constrictive
- 30. Hemodynamics Constrictive pericarditis RV infarct Tamponade Restrictive cardiac disease Pulses paradoxus < 1/3 Occasional Frequent Rare RA waveforms Prominent y descent Prominent y descent Prominent x descent Insp. Variable y descent Equalization of diastolic pressures Frequent Frequent Frequent Rare “ Square root” sign Frequent Frequent Absent Variable