23 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... ) B) Evaluate ischemic ... Cardioembolic: • ECG ... udaygulati #ischemic ... #CVA #stroke #workup
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... moderate or severe ischemia ... unfamiliar with the ISCHEMIA ... on results of ISCHEMIA ... /alenghat/ #ISCHEMIA
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... inflammation (e.g ... Antiphospholipid syndrome ... hypovolemia), Meds/Treatments ... #Mesenteric #Ischemia
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... pathway between the atria ... QRS interval on EKG ... The definitive treatment ... #ECG #EKG #Electrocardiogram
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... that will cause ischemia ... Lumbar Puncture, EEG ... cyclophosphamide • Ischemic ... prevention (statin for CVA
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... admission: acute ischemia ... territories: mesenteric ischemia ... , stroke in right ... MCA and ischemia
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
(e.g., long QT ... • Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... more intensive treatment
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
visual changes, stroke ... AKI, acute limb ischemia ... organ damage • Treatment ... unless worrisome EKG ... TLS #diagnosis #management
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
Treatment of giant ... /day • Ischemic ... scalp necrosis, stroke ... discuss therapeutic trials ... #Management #Relapses