12 results
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
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... diagnosis #management #hematology
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Anterior ischemic ... Definition: acute ischemic ... Doppler US : halo sign ... PET/CT: aortitis ... Dramatic efficacy of GCs
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... is conscious, symptoms ... may include chest ... as soon as possible
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 ... Ischemia? ... Patients DIE: Drugs, Ischemia
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... Consider cardiac
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... Other tests: • CT ... or serologies + symptoms ... sparing of the lung ... CT
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... pain that worsens as ... in literature (NEJM ... cases (Cornelia NEJM ... GCA #Temporal #Signs
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... CN7, parotid), CT ... /NCS (rare): assist
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... dependent DM ACS ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung