25 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... : • EKG • Bedside ... , PT. aPTT • Serial ... troponin; HEART score ... • PERC; Well score
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... diminished and ST ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... /kg/min - Milrinone ... , medium 4-10 mcg ... Vasopressors #Properties #Table
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Sleep Deprivation (Eg ... Shift Work) Sleep ... Hypoventilation Syndrome Medical ... • Medications (Eg ... • Drug Abuse (Eg
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
incidentally during medical ... evaluation or workup ... 1,500 cells/µL Workup ... for secondary causes ... signs or symptoms (eg
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... If persistent ST ... Diagnosis #Management #Workup
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... ischemic CVA (core ... Evaluate underlying cause ... Cardioembolic: • ECG ... #CVA #stroke #workup
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... production to cause ... arrythmias Diagnostics: EKG ... CT/MRI ($$$$) CORE
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... with previously stable ... risk factors (eg ... hypertension (eg ... hypertension (eg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... indicated • EKG ... Obtain EKG if: ... PCI/DES ( Levine 2016 ... perioperative medical