11 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... (+LR 2.6) - Cardiac ... - History - EKG ... #Evaluation #diagnosis ... #Angina
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... with history of angina ... period without chest ... pain, as they result ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... chest pain • ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
This Patient With Chest ... #EBM #Diagnosis ... #Cardiology #ACS ... AcuteCoronarySyndrome #Symptoms #Signs ... Atypical #ChestPain #Cardiac
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Shock, SBP <90, AMS ... SOB from CHF, Chest ... #bradycardia #diagnosis ... differential #management #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... chest to evaluate ... recent DAN) • EMG ... typically seen on chest ... CT
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... symptoms may include chest ... as soon as possible ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Unstable Angina ... change CV risk Chest ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... Consider cardiac ... Pharmacology: • ACE ... #heartfailure #diagnosis