14 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... classification, and the HEART ... score to guide ... factors Calculate a HEART ... score: - History
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
ARB, diabetes) ACE ... Tachycardia/arrhythmia, Heart ... LV dysfunction, Heart ... Alpha Blockers - Heart ... contraindications #table
Wide Complex Tachycardia - Differential Diagnosis Algorithm
Irregular
 • Polymorphic VT
    - Torsades
Differential Diagnosis Algorithm ... Torsades - ACS ... Nonstructural Heart ... Aberrancy - Hyperkalemia ... Differential #Diagnosis #Algorithm
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
instability or acute heart ... Validated) - Sgarbossa score ... AcuteCoronarySyndrome #ACS ... LBBB #Evaluation #Algorithm
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... injury, Early ALS ... Eclampsia, Late ALS ... differential #diagnosis #table ... #neurology
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Diagnosis and Workup Algorithm ... Disease, Structural Heart ... Occlusion • Stable ... Differential #Diagnosis #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Hyperthermia/Heat ... exhaustion, Heat ... injury, Heat stroke ... per day until stable ... causes #treatment #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : Hypovolemia, Hypervolemia ... renal perfusion (Heart ... differential #diagnosis #table ... #sodium #nephrology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... algorithm to determine ... - Structural heart ... • <12mo since ACS ... indicated unless prior heart
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
with congestive heart ... Hyponatremia • Hypercalcemia ... with congestive heart ... Excretion #Diuresis #Nephrology ... #Medications #Table