13 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... determine etiology of syncope ... /S, EEG, Brain MRI ... #diagnosis #workup ... Effectiveness #table
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Syncope Cost-Effectiveness ... Workup Cost-effective ... specific high risk ... or additional indications ... Carotid US • Brain MRI
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Finger glucose • Medication ... a NCCT or • MRI ... CVA 2) No major-risk ... #CVA #stroke #workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... - Allergies to medications ... physical exam - Key components ... event, follow ACC algorithm ... Stable patients
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... • Anemia • Medications ... Contractility: • MI ... Tachy-Brady Syndrome #Syncope
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
New/worsening MR ... or high (5-7) risk ... TIMI low (1-2) risk ... Rx: NSTEMI/UA: stable ... TIMI low (1-2) risk
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Algorithm for the ... Medications 7. ... barium, CT, or MR ... Diarrhea #management #algorithm ... #workup #diagnosis
HIV PrEP (Pre-Exposure Prophylaxis) - Truvada 

HIV Pre-Exposure Prophylaxis (PrEP) is available in the form of
single once-daily tablet ... but have high-risk ... because of the risk ... Adherence to the daily medication ... PrEP actually works
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... An acute rise or ... with previously stable ... hypertension and no other risk ... #Hypertension #Workup
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
receptor antagonists (MRA ... associated with higher risk ... failure - Co-medication ... antihypertensive #medications ... contraindications #table