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workup acutepe chestpain cteph differential ekg electrocardiogram evaluation fibrillation hypertension imaging obgyn pain perioperative phtn pregnancy preop preoperative pulmonaryembolism radiology
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... , PT. aPTT • Serial ... Well score for PE
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 ... supporting evidence of PE ... Arrhythmia* (e.g., A-Fib ... #diagnosis #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
exercise intolerance, chest ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... Limb ischemia Pulmonary ... Embolism: - Hx ... pleuritic CP, Dyspnea, PE ... #Management #Algorithm
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
embolism Pathophysiology ... regurgitation) Diagnosis ... 6 months after PE ... not specific • Chest ... #management
A possible diagnostic algorithm for pulmonary embolism in pregnancy (equipose) Given the variability in guidelines and equipoise
A possible diagnostic ... algorithm for pulmonary ... embolism in pregnancy ... #OBGyn #Obstetrics ... #PE
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... one post op Cardiology ... change CV risk Chest ... medical and surgical management ... stratification #diagnosis
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