18 results
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome on ECG ... while walking to work ... A 12-lead ECG is ... Wellens #Syndrom #ECG ... #EKG #Electrocardiogram
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Angiography 55 year ... close relative, ECG ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
thrombi”. 55 year ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Inform theatre team ... Intraoperative #Checklist
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
joint trauma (e.g ... ., meniscal tears ... subchondral bone (e.g ... derangements (e.g ... rheumatology #approach #workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Liver function tests ... Nephrotoxins (e.g ... channel blocker (eg
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... amphetamines) Toxic: • Radiologic ... Diagnosis #Management #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... will also get an EKG ... Urine Pregnancy Test ... #ICU #Pearls #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
inform theatre team ... cultures if possible (eg ... intensive care team ... Intraoperative #Checklist ... Diagnosis #Management #Workup