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cost effectiveness testing adrenalmass differential endocrinology evaluation fever fuo hematology hypercoagulable origin perioperative preop preoperative risk stratification table thromboembolism unknown
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... Tests: ECG, Telemetry ... enzymes, Head CT ... , Carotid U/S, EEG ... #diagnosis #workup
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... Echocardiogram • Head CT ... • Brain MRI • EEG ... #diagnosis #workup
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Algorithm Suggestive ... Releasing Carcinoma (e.g ... Other Source (e.g ... Dexamethasone Suppression Test
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
Vascular imaging → Test ... • Provoked (e.g ... - No other workup ... #hematology #diagnosis ... #algorithm #hematology
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... release assay (e.g ... ESR, +/- CRP • CT ... • Additional tests ... #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... indicated • EKG ... Obtain EKG if: ... Unstable Angina
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