16 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... rupture Initial workup ... : • EKG • Bedside ... , PT. aPTT • Serial
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
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial
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
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... , atrial fibrillation ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work
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 ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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 ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
→ ↓ → →↑ Pulmonary ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... RCWI Cardiac Work ... 0.0144 Cardiac Work
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
obstructing the airway, e.g ... the airway is clear ... negative-pressure pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup