12 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... (+LR 2.6) - Cardiac ... #ChestPain #ACS ... #Evaluation #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... with tetany or cardiac ... Syndrome #TLS #diagnosis ... #management #hematology
HEART Score – A Tool For the ED The HEART score is an excellent tool that
Coronary Syndrome (ACS ... further workup and treatment ... Major Adverse Cardiac ... www.mdcalc.com/heart-score-major-cardiac-events ... #Diagnosis #Management
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 ... • <12mo since ACS ... stratification #diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Recurrent anginal chest ... troponin elevation Diagnosis ... tests in cath lab Treatment ... #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Glucose/Temp • ACS ... • Drugs • ICP ... Bradycardia Cardiac ... Valve surgery • Heart
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
BNP, Troponin), ABG ... , STAT CXR, CTA ... Chest, Echocardiogram ... #Management #treatment ... #criticalcare
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... → no signs of CXR ... Consider cardiac ... Pharmacology: • ACE ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
• Avoid ARB/ACE-I ... and timing with Cardio-OB ... GDMT meds (e.g., ACE ... follow-up with Cardio-OB ... #treatment
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... of Achalasia - ACG ... solids and liquids, heart ... burn, chest pain ... #Management #ACG