8 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... History and Exam Acute ... Pulmonary embolism • Cardiac ... ultrasound • CXR ... score for PE • CTA
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 ... Angina #ChestPain #Diagnosis ... Management #Algorithm #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... Culture (+): Acute ... : • New cardiac ... Diagnosis? ... #cardiology
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Catheterization Cheat ... pressure (PCWP) ● Cardiac ... PCWP]/CO) ● Cardiac ... Interpretation #Diagnosis ... CheatSheet #Waveforms #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... b) CHF c) CVA ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... (Sens. 81% for acute ... → no signs of CXR ... Consider cardiac ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... dental procedure • Cardiac ... Culture Positive: • Acute ... : • New cardiac ... #cardiology #infectiousdiseases
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... full infectious work-up ... high LDH, low Ca ... interventional radiology ... Oncology #HemeOnc #Diagnosis