9 results
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... infarction • Pulmonary ... embolus • ... #Stroke #CVA #Neurology ... #Causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Well score for PE ... • CTA/VQ scan
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Aortic Stenosis - Ischemic ... Embolism (chest ... • Trauma - Neurologic ... Differential #Diagnosis #Algorithm
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... findings in acute PE ... evaluating for other causes ... Arrhythmia* (e.g., A-Fib ... ECG leads) RV Ischemia
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... deficit, Limb ischemia ... Pulmonary Embolism ... pleuritic CP, Dyspnea, PE
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... /ischemic insult ... Endocarditis #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
embolism Pathophysiology ... 6 months after PE ... not specific • Chest ... CTA showing thromboembolic ... Thromboendarterectomy #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... event, follow ACC algorithm ... risk Chest X-ray ... medical and surgical management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
help AND check arterial ... o Circulatory embolism ... o Cardiac ischaemia ... o Aspiration, pulmonary ... Diagnosis #Workup #Management