9 results
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Pressure like CP ... severe, tearing CP ... onset pleuritic CP ... friction rub, Fever ... vomiting retrosternal CP
“Step by Step” – the new kid on the block – aims to risk stratify this
components of the algorithm ... an infant with fever ... <10,000/mm3 - CRP ... Infant #StepByStep #Algorithm ... Stratification #Fever
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Presentation • Fever ... incr in 4-35% • CRP ... 7-28% -> Incr risk ... inflammatory markers (CRP ... #Protocol #SARSCoV2
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... of Unknown Origin ... SPEP, ANA, anti-CCP ... • +/- ESR, +/- CRP
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... or family - Ever ... event, follow ACC algorithm ... OSA • Continue CPAP ... have one post op
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Primary Survey: C-ABCDE ... Binder) • Use POCUS ... skin, ↑ HR, ↓ cap ... massive transfusion protocol ... Primary #Survey #CABCDE
Fever of Unknown Origin (FUO) Diagnostic Algorithm
STEP 1 Perform a comprehensive history and complete physical examination.
STEP
Fever of Unknown ... Algorithm STEP ... STEP 3 Order CBC, CMP ... , ESR, CRP, ferritin ... after discussing risks
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lymph nodes Risk ... Active TB: • Fever ... cough Pleuritic CP ... -> Miliary TB Can ... Inhibitor: • Risk
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lymph nodes Risk ... Active TB: • Fever ... cough Pleuritic CP ... -> Miliary TB Can ... Inhibitor: • Risk