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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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Diagnosis #Management #Workup
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
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Check serial lactates ... cultures if possible (eg ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Modalities for Workup ... endoscopy • Able ... Deep Enteroscopy (e.g ... laparotomy with intraoperative ... gastroenterology #table
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 ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
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