18 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
chest/abd/back pain ... Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... deficit • Shock Treatment
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... tearing" chest pain ... connective tissue disorder ... FHx • Imaging: CTA ... Management #summary #treatment
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... infarction • Aortic ... , PT. aPTT • Serial ... score for PE • CTA
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Acute Management Pain ... Diagnose with CTA ... Call CV Surgeon. ... 1) Control Pain ... Diagnosis #Management #treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
completely different disorders ... scripts and initial treatment ... algorithms. ... onset • Abd pain ... • Moderate abd pain
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Opioid Stewardship Algorithm ... Patient Specific, Pain ... Medication Assisted Treatment ... with Opioid Use Disorder ... Sergey Motov @painfreeED
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
regurgitation • Chest pain ... manifestations • Chest pain ... Before antireflux surgery ... exclude motility disorders ... - Antireflux surgery
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Vasculitides 5% (PAN ... Thrombus, 1° clotting disorder ... pancreatitis) - Arterial ... hypovolemia), Meds/Treatments ... Differential #Diagnosis #algorithm
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Symptoms: • Classic triad ... Bleeding, abdominal pain ... suspicion for AEF: CTA ... • CT findings ... Management: SURGERY
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
Stanford Type B thoracic ... interscapular pain ... allowed the CV surgeon ... the confirmatory CTA ... and standard treatment