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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... : • 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
Hyperkalemia shortens ... diminished and ST ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Peak T, flat P, ST ... Cortisol+ACTH stim ... Elimination (see Table
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
To be eligible for hospice beneficiaries with Alzheimer’s disease must have a FAST Scale of greater
objects; subjective work ... complex tasks (e.g ... 7d: Unable to sit ... Pressure Ulcers, UTI ... #FAST #Stage #Score
Rockwood Clinical Frailty Score

There is no single generally accepted clinical definition of frailty. Previously developed tools
Clinical Frailty Score ... occasionally, e.g ... – People whose medical ... so, they seem stable ... Frailty #Scale #Score
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
patient’s underlying medical ... senior on-call / dial ... • Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... Diagnosis #Management #Workup
Drug Abuse Screening Test (DAST‐10) Questionnaire and Interpretation
1. Have you used drugs other than those required
those required for medical ... Are you always able ... Have you had medical ... your drug use (e.g ... DAST-10 Score:
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
Median age 50- ... red bone marrow, e.g ... CRAB - no anemia, hypercalcemia ... Prognosis: • Median ... Oncology #Diagnosis #Workup