44 results
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... rupture Initial workup ... : • EKG • Bedside ... , PT. aPTT • Serial ... Diagnosis #Algorithm #workup
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
- Light meal (e.g ... ., toast + clear ... Non-alcoholic clear ... liquids (e.g. ... Anesthesiology.
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
can identify a clear ... , no extensive workup ... EtOH - Infectious workup ... blood cultures - ECG
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on ... POCUS Echocardiogram ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... pedal edema, and clear ... transthoracic echocardiogram ... to workup right-heart
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Check serial lactates ... to achieve mean arterial ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Diagnosis #Management #Workup
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... on POCUS Echocardiogram ... with acute onset atrial ... Very clear regurgitant ... #AFib #POCUS #Echocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Consider invasive arterial ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Differential #Causes #Anesthesiology ... Diagnosis #Management #Workup