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diagnosis workup cardiology comparison cost differential effectiveness shock syncope cardiogenic catheterization cathlab causes criticalcare curves distributive evaluation features guyton hypomagnesemia
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... ECG, Telemetry, Cardiac ... /S, EEG, Brain MRI ... , Cardiac stress ... Effectiveness #table
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... #Stress #Testing
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... CM #Shock #Classification ... Cardiogenic #Comparison #Table
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... - Allergies to medications ... exam Determine Cardiac ... surgery Stress Testing ... postoperative cardiac
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Renal Loses - Medications ... Familial renal Mg wasting ... Low #Magnesium #Table ... #Classification
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab Indications ... New/worsening MR ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... #Cardiac #catheterization
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... thyrotoxicosis), Medications ... Renal Losses(salt-wasting
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
or additional indications ... Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing ... • Cardiac Enzymes
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