12 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Initial workup: • EKG ... , PT. aPTT • Serial
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... #diagnosis #algorithm ... #hematology #VTE
Physiologic Skin Changes in Pregnancy - Differential Diagnosis Algorithm

Face
 • Melasma
Abdomen
 • Linea Nigra 
Hormone induced
- Differential Diagnosis ... Algorithm Face ... Distensae (striae ... #SkinChanges #normal ... #Algorithm #causes
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Causes of Abnormal ... Prolonged Activated Partial ... Jcortesizaguirr #Abnormal ... #diagnosis #differential ... #hematology #coagulation
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT chest ... o infection • Echocardiogram ... recent DAN) • EMG ... Goodpasture's cause ... blood retum in serial
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... • ↓ Effective arterial ... • Normal kidney ... Exclude other AKI causes ... liver insult (e.g
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... cryoglobulin (CG ... including retinal arterial ... cryoglobulins • Negative causes ... hematology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
involve anterior chest ... , parts of the axial ... Rule out other causes ... antiinflammatory properties e.g ... #Dermatology
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
LVH, low-voltage EKG ... hypoadrenalism • Nausea ... • Echocardiogram ... Doppler imaging: Normal-size ... disproportionate atrial
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... Obtain EKG if: ... change CV risk Chest ... CARP, DECREASE V trials ... stratification #diagnosis