11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... infarction • Aortic ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Serial troponin; HEART
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... Marfans, EDS ... disease • Cardiac ... Pulse deficit/differential ... opiates • Control heart
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Thrombus / Embolism: Cardiac ... /Vessels (Heart ... hypovolemia), Meds ... #Diagnosis #algorithm
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
Undifferentiated critical ... determines if cardiac ... interrupted arch, aortic ... #presentation #Differential ... Blue #Gray #Baby #Peds
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm
Maternal Bradycardia:
Diagnosis Algorithm ... with congenital heart ... Fetal hypoxia/acidosis ... compression) • Fetal cardiac ... hypoxemia • Cardiac
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential ... perfusion - Cardiac ... failure - Low cardiac ... glycol - HIV/HAART ... #Elevation #Differential
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... postoperative cardiac
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... and timing with Cardio-OB ... support for patients clinically ... teratogenic GDMT meds ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... hemodynamics and cardiac ... Cardiac cath if ... #diagnosis #differential ... #algorithm #management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... , selenium) Differential ... failure • Aortic ... experience recovery of cardiac