18 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... Vascular imaging → Test ... • Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR
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 ... consultation with cardiology ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... indicated, start CPR ... pericardiocentesis kit (eg ... Diagnosis #Management #Workup
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
venous system E-CPR ... of VA-ECMO when CPR ... flow supports cardiac ... Assess perfusion (eg ... management #pulmonary #criticalcare
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... arrest, start CPR ... alternate vasopressor (e.g ... Diagnosis #Management #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... will also get an EKG ... and CXR ... Urine Pregnancy Test ... #criticalcare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... differential #diagnosis #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... or diagnostic tests ... perfusion - Cardiac ... failure - Low cardiac
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS