Dr. Satya Patel @SatyaPatelMD
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https://twitter.com/SatyaPatelMD | Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Acute Coronary Syndrome ... (ACS) Algorithm ... Acute #Coronary #Syndrome ... #ACS #Algorithm
Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department

https://bit.ly/chestpainalgorithm

#ACS #ChestPain #algorithm
Evaluation for ACS ... chestpainalgorithm #ACS ... acute #coronary #syndrome
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Acute Coronary Syndrome ... (ACS) Hyperacute ... SatyaPatelMD #EKG #ACS ... Acute #coronary #syndrome
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
EKG changes in ACS ... Progression #EKG #ACS
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... #ChestPain #ACS
Intern Pocket Cards - Inpatient Anti-Emetics Guide
Serotonin antagonists:
 • Ondansetron (Zofran), Granisetron (Kytril, Sancuso) - Headache,
paradoxical excitation ACh ... DA/Histamine/ACh
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... Hypercortisolism #Cushings #syndrome
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Cushing Syndrome ... SatyaPatelMD #Cushings #Syndrome
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Cirrhosis, Nephrotic syndrome
Problem Representation

An evolving summary of a patient’s clinical presentation that strives to identify 
(1) Clinical syndrome
(1) Clinical syndrome