21 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... syncope Tests: ECG ... , Brain MRI, Cardiac ... diagnosis #workup #testing ... #table #comparison
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... Carotid US • Brain MRI ... stress testing ... diagnosis #workup #testing
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Cardiac #Stress #Testing
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... indicated • EKG ... Obtain EKG if: ... they have one post ... surgery Stress Testing
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Polysaccharide cell wall component ... formulations (e.g ... beta-glucans (e.g ... for IA - Most ... Frozen ice-pops (in setting
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... oliguria (< 0.5 mL/kg ... , post-obstructive ... O2 delivery • MI
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
peripheral nerve components ... organisms: • Most ... Electrodiagnostic studies (Ex EMG ... demyelinating or axonal • MRI ... - Spinal MRI may
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
occurring in the setting ... develop in the setting ... oliguria (< 0.5 mL/kg ... , post-obstructive ... O2 delivery • MI
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Galactomannan Testing ... • Cell wall component ... formulations (eg ... this test) • Most ... Galactomannan #Fungal #Testing
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... ancestry, LGE on MRI ... ARB/ACE-I/ARNI/MRA ... during Delivery • Stable ... products early post-partum