35 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
quadrant: R/O cardiac ... musculoskeletal causes ... genitourinary causes ... Peritonitic • Bowel ... Metabolic disease (e.g
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... have fever - ACS ... limb ischemia, bowel ... unless worrisome EKG ... TLS #diagnosis #management
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 ... Checklist #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 ... pericardiocentesis kit (eg ... Plan definitive management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Checklist #Diagnosis #Management ... #Workup
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis