12 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... #STEMI #Equivalents ... Interpretation #differential
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... Algorithm The ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
XRay - Differential ... • inflammatory bowel ... • infection (e.g ... #Diagnosis #radiology ... #KUB #Abdominal
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
(<72 hours) - Differential ... Diagnostic Algorithm ... Peritonitic • Bowel ... Metabolic disease (e.g ... • Irritable bowel
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Diagnosis and Management ... Algorithm Risk ... somatic syndromes (e.g ... inflammation, Abdominal
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
- Differential ... Ascites Bowel ... Medical Conditions (e.g ... Neuropathic • Enteric (e.g ... • Extrinsic (e.g
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 • 1st
Irritable Bowel ... Algorithm Step ... lifestyle advice Abdominal ... Antispasmodic eg ... neuromodulator eg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management