11 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
and the HEART score ... 2.6) - Cardiac risk ... - History - EKG ... findings - Age - Risk ... #cardiology #Angina
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... CVA (core, penumbra ... Cardioembolic: • ECG ... CVA 2) No major-risk ... diagnosis #checklist #neurology
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
to arm/jaw, CAD risk ... deficit, Limb ischemia ... CP, Dyspnea, PE risk ... swelling, Wells score ... #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
pre-existing history or risk ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... history of: a) Ischemic ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential ... An acute rise or ... hypertension and no other risk ... Neurologic disorders
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... may not occur Differential ... tachyarrhythmias High-risk ... #cardiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
epidemiological risk ... epidemiologic risk ... factors: - Serology ... special stains (e.g ... Endocarditis #diagnosis #differential
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... analgesia (consider risk ... : o Cardiac ischaemia ... #Hypotension #Differential ... Diagnosis #Management #Workup
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Dysphagia- increased risk ... : El Escorial criteria ... EMG: LMN Signs in ... conditions listed in differential ... Lateral #Sclerosis #neurology