36 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... • Non-contrast CT ... sn/sp) or • CTA ... Defined if 1) CT ... #diagnosis #checklist
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Electrolytes including Ca ... tox/infectious workup ... appropriate Consider CT ... Delirium #Evaluation #Workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... rupture Initial workup ... score for PE • CTA ... Diagnosis #Algorithm #workup
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... check the urine Ca ... BrighamChiefs #Hypercalcemia ... #workup #differential ... elevated #evaluation #workup
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... ABG, STAT CXR, CTA ... Hypoxemia #Hypoxia #Workup
Multiple Myeloma Diagnosis and Management Summary
Clinical Signs:
 • hyperCalcemia 28% (bone demineralization)
 • Renal disease 48%
Clinical Signs: • hyperCalcemia ... nephropathy and hypercalcemia ... Hgb < 10 • Ca ... Diagnosis #Management #oncology
Failure to Thrive - Evaluation Checklist
 • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Thrive - Evaluation Checklist ... Labwork: CMP (Ca ... PT, OT, Social work ... Thrive #Evaluation #Checklist
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... high LDH, low Ca ... plasmapheresis Hypercalcemia ... renal failure, pulmonary
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
6L/day) • For hyperkalemia ... , treat with Ca ... otherwise treat with "hyperkalemia ... Syndrome #TLS #oncology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
AECOPD) Obtain workup ... Echo, LE doppler, CTA ... Exacerbation #treatment #pulmonary