55 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... Tests: ECG, Telemetry ... , Cardiac enzymes ... , Carotid U/S, EEG ... #diagnosis #workup
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Workup Cost-effective ... Orthostatic BP • ECG ... • Ambulatory ECG ... • Brain MRI • EEG ... #diagnosis #workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
, Cardiac failure ... ventricular arrythmia, syncope ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... carotid sinus syndrome ... and an initial ECG ... In many cases, syncope
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
without biopsy) e.g ... Löfgren's syndrome ... and/or cytology (e.g ... of alternative causes ... #Workup
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... Wong @mchlwng #Syncope ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
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 ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... , can be caused ... associated with sudden cardiac ... #EKG #ECG #Diagnosis ... #Cardiology
Failure to Thrive - Evaluation Checklist
 • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Thrive - Evaluation Checklist ... , 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... #diagnosis