15 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... : • EKG • Bedside ... , PT. aPTT • Serial ... #Algorithm #workup
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
• Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... #hematology #diagnosis ... #algorithm #hematology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... incidentally during medical ... signs or symptoms (eg ... #Differential #diagnosis ... #hematology #eosinophilia
Autoantibodies and their Disease Associations
ANA - Non-specific; common in SLE, autoimmune hepatitis
Anti-CCP, Rheumatoid factor - RA
Anti-dsDNA
(Diffuse) Anti-Sm ... - Vasculitis, e.g ... - Vasculitis, e.g ... Associations #diseases #diagnosis ... #table #rheumatology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... the patient's diagnosis ... (e.g. pneumonia ... RespiratorySupport #Selection #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... : • Focused medical ... exam • 12-lead ECG ... Valvular disease (e.g ... #Palpitations #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... change CV risk Chest
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... Serial TTE and close