15 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Ask about: - Changes ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... , SOB from CHF, ... Chest Pain • ECG ... #bradycardia #diagnosis ... differential #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... Pharmacology: • ACE ... #management #cardiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... extending to the lung ... bronchiectasis, CF ... #Tram #Track #Sign ... #diagnosis #radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... Tenderness to anatomic ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Named based on anatomic ... can't make A-OK sign ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... disrupted, treat as ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #Checklist #CHF ... #HeartFailure #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... algorithm to determine ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis