23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... : • EKG • Bedside ... ultrasound • CXR
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... hypertension (> ... #Embolism #ECG ... #EKG #Electrocardiogram
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
values. 3. ... risk factors (eg ... (eg, patientswith ... (eg, presence of ... #Workup #causes
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... production to cause ... Bradycardia & hypotension ... : EKG ($), ECHO ... Stress #Testing #cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Mass on POCUS Echocardiogram ... Normal work up including ... negative ECG, CXR ... hypertension. ... #clinical #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... level <100 pg/ml EKG ... ischemic changes CXR ... #cardiology
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 ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
And Proteinuria (e.g ... insufficiency (Cr ... or doubling of Cr ... ), pulmonary edema ... htn #obstetrics #cardiology