8 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Hawkin’s Test ... Labral tear: ... #Diagnosis #PhysicalExam ... Testing #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... : ✖ Each year approximately ... available lab test ... per treatment table ... Perioperative #Management
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Labral tear - Crank ... Test 1. ... rotating arm #Diagnosis ... #RotatorCuff #Test ... #Crank #ALiEM
Labral tear - O'Brien Test - 1. Position patient's shoulder in 90 degree flexion, elbow extended,
Labral tear - O'Brien ... Test - 1. ... supinated (thumb up) #Diagnosis ... #RotatorCuff #Test ... #OBrien #ALiEM
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Algorithm for patients ... Stress Test ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Avoid Warfarin and DOAC ... with Cardio-OB team ... Delivery • Stable ... with Cardio-OB team
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... echo in the last year ... medical and surgical management ... stratification #diagnosis
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain, near-syncope ... serum creatinine, test ... typically needed • DOACs ... Fibrillation #AFib #diagnosis ... #management #cardiology