9 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
LMCA lesion -> Cardiac ... This is not for acute ... syndrome (ACS) evaluation ... #ChestPain #Diagnosis ... #EBM #Trial
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
and Evaluation ... Identification of onset (acute ... Medical history (cardiac ... #EM #IM #Nephro ... Differential #Algorithm #Ddxof
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... evaluation as 5 ... with CXR, obtain ... #Peds #EM #Classification ... SeriousBacterialIllness #Ddxof
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic ... precipitating agent ... #Myocarditis #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... (Sens. 81% for acute ... CXR congestion. ... Consider cardiac ... #heartfailure #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... cardiac disease ... neck veins, • Absence ... ischemic changes CXR ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... exam Determine Cardiac ... disease b) CHF ... Unstable Angina ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... are excellent at evaluating ... hemodynamics and cardiac ... Cardiac cath if ... #heartfailure #chf
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
Radiation Injury Acute ... • Onset Hours Cardio ... 1 Gy = ~10,000 CXRs ... lethal - MH/CCF ... Injury #Toxicity #diagnosis