8 results
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... Source: Fanaroff AC ... EBM #Diagnosis #Cardiology ... #ACS #AcuteCoronarySyndrome ... Typical #Atypical #ChestPain
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... acute coronary syndrome ... (ACS) evaluation ... Stable #Angina #ChestPain ... #Algorithm #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... organ damage • Treatment ... acid, Elevated Cr ... TLS #diagnosis #management
HEART Score – A Tool For the ED The HEART score is an excellent tool that
Acute Coronary Syndrome ... (ACS) for admission ... further workup and treatment ... #Diagnosis #Management ... Stratification #ChestPain
Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife.
ACLS performed x ... activity p 30min ACLS ... , no pceff, no fine ... #Echoardiogram ... #ACLS #S4C #Intraarrest
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Incidence: common in APL ... Triggers: ATRA treatment ... unless severe APLS ... APML #diagnosis #management
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Note presence of fine ... Fine Vfib can be ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... afebrile 24-48 h and ANC ... interventional radiology ... : - Seen with AML ... (~20 %) and APL