8 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... troponin elevation Diagnosis ... tests in cath lab Treatment ... #cardiology #diagnosis ... #management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... acute coronary syndrome ... (ACS) evaluation ... #ChestPain #Diagnosis ... #Cardiology #EBM
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... organ damage • Treatment ... #TLS #diagnosis ... #management #hematology
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 ... #management #hematology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... Unstable Angina ... • <12mo since ACS
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 ... heart-score-major-cardiac-events #Diagnosis ... #Management #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... 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 ... interventional radiology ... : - Seen with AML ... (~20 %) and APL ... Oncology #HemeOnc #Diagnosis