13 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... complete neuro, NIHSS ... monitoring • TTE ... MRI-confirmed non-lacunar CVA ... #ischemic #CVA
National Institutes of Health Stroke Scale (NIHSS)
Total Score 0-42
1a. Level of consciousness
1b. LOC questions
1c. LOC commands
2.
Stroke Scale (NIHSS ... Best language 10 ... #StrokeScale #NIHSS ... Nursing #Assessment #CVA
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Refer to your ‘Fever ... Returning Traveler’ algorithm ... smear • Signs of VTE ... Venous duplex or CTA
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... triad (<10%): fever ... granular casts/RTE ... Nephritis #AIN #Algorithm
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
Hypercoagulability ot Ca ... Recurrent #DVT #VTE ... #differential #algorithm
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Algorithm for the ... Ova and parasite ... Bloody diarrhea, fever ... Diarrhea #management #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... components: - CV ... b) CHF c) CVA ... event, follow ACC algorithm ... • <3mo since VTE
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Gastric & Ovarian CA ... night sweats, fever ... cultures • 2D Echo TTE ... • TTE nondiagnostic ... Persistent bacteremia/fevers
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
echocardiography; and TTE ... a patient with fever ... Echocardiogram #TTE ... #TEE #Algorithm
Inferior Vena Cava (IVC) filters - Management Algorithm

 • Only two RCTs exist evaluating efficacy of
Inferior Vena Cava ... filters - Management Algorithm ... Decision #Management #Algorithm ... #DVT #VTE