20 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... opiates • Control heart ... #diagnosis #management
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic dissection ... , PT. aPTT • Serial ... troponin; HEART ... score for PE • CTA
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential Diagnostic ... Thrombus, 1° clotting disorder ... pancreatitis) - Arterial ... failure, Dissection ... hypovolemia), Meds/Treatments
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
- Diagnosis and ... sudden onset, "tearing ... connective tissue disorder ... FHx • Imaging: CTA ... #summary #treatment
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... intensity at onset, Tearing ... with CTA. ... Call CV Surgeon. ... #treatment #aorta
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Mediastinal mass, Left atrial ... URGENT WORKUP ... → EGD Treatment ... gastroenterology #workup
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Before antireflux surgery ... exclude motility disorders ... - Antireflux surgery ... Reflux #Disease #diagnosis
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
positive in 2/3 of pts ... antibody that works ... limb or joint disorders ... Person Syndrome Treatment ... #Management #treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
a gas exchange disorder ... appear in left heart ... cycles after right atrial ... ) on room air Treatment ... #management #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... - Structural heart ... upper abdominal/thoracic ... CARP, DECREASE V trials ... stratification #diagnosis