9 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... with ST segment changes ... Transient ST segment changes ... perform provocative tests ... in cath lab Treatment
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... at rest or progresses ... reflected by ECG changes ... Diagnosis #Cardiology #ACS ... GrepMed Recommended Text
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Angina Stress ... Test -> ? ... revascularization (PCI ... coronary syndrome (ACS ... #Angina #ChestPain
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
Microimmunofluorescent antibody test ... • PCR • Culture ... first line of treatment ... Chlamydia #psittaci #microbiology ... #infectiousdiseases
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
PCR is gold standard ... • Treatment: ... PCR not useful for ... Diagnosis #Management #Microbiology ... #InfectiousDiseases
Visceral Leishmaniasis - Diagnosis and Management Summary
Species: Leishmania donovani, Leishmania infantum, Leishmania chagasi
Where: South Asia, East
infantum, Leishmania chagasi ... histopathology, culture, PCR ... , K39) Treatment ... #infectiousdiseases ... #microbiology
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
PCR is gold standard ... • Treatment: ... PCR not useful for ... Diagnosis #Management #Microbiology ... #InfectiousDiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Stable patients ... Recent PCI/stenting ... Unstable Angina ... since elective PCI
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... Cortisol+ACTH stim test ... Elimination (see Table ... Ca-gluconate or 1g CaCl ... Redistribution Treatments