12 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... • Rheumatic Heart ... Dysfunction • Ischemia ... #Cardiology #Differential ... #causes
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
Pediatric UTI Algorithm ... - No other fever ... Emergency Medicine Cases ... #Diagnosis #Management ... UrinaryTractInfection #Peds
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Algorithm STEMI ... cocaine - PEX: New murmur ... deficit, Limb ischemia ... friction rub, Fever
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
pre-existing history or risk ... especially in heart ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• If heart rate ... analgesia (consider risk ... : o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
irregular rhythm, new murmur ... history of: a) Ischemic ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... • New cardiac murmur ... Early embolic/ischemic ... Endocarditis #diagnosis #management ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Assess for high risk ... BP • New AR murmur ... opiates • Control heart ... Dissection #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ) • Valvular heart ... • Hypertensive heart ... teratogenic GDMT meds ... #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
cannot, coronary ischemia ... treat the primary cause ... may not be the case ... #diagnosis #algorithm ... #management #clinical