8/17/20
# LVAD parameter algorithm
# SVT and ischemic workup
# CP vs Aortic dissection
- workup - needs to be updated
- d-dimer with sudden onset !!! and score system.
Possible physical examination findings include the following:
- Hypertension
- Hypotension
- Interarm blood pressure differential greater than 20 mm Hg
- Signs of aortic regurgitation (eg, bounding pulses, wide pulse pressure, diastolic murmurs)
- Findings suggestive of cardiac tamponade (eg, muffled heart sounds, hypotension, pulsus paradoxus, jugular venous distention, Kussmaul sign)
- Neurologic deficits (eg, syncope, altered mental status)
- Peripheral paresthesias
- Horner syndrome
- New diastolic murmur
- Asymmetrical pulses (eg, carotid, brachial, femoral)
- Progression or development of bruits
8/16/2020
# How to manage syncope vs POTS vs orthostatic ?
# Amiodarone loading indication and protocol for VT managment
# premedication prior to cath (prednisone)
# prep for GI workup(colonoscopy; esp. bisacodyl? suppository?)
# Stress test indication, choice, protocol and adverse event!
# hyperammonemia?
8/16/2020
# which stress test you should put in?
- indication
- contraindication
- pros vs cons
-
# COVID myocarditis management?
# Nicotine patch in inpatient vs outpatient?
(How are you going to help them to surcease smoking)
- Chantiks
- DNRI
- Nicotine patch, gum, and so on.
- Actual plan book
# Pre-Anticoagulation on ACS patient
# T-loading, S-loading
-Medication half life, QT prolongation 3 HR
-EKG: calculation method, interval
-Contraindication
-How to approach if there is adverse event such as torsa de pointes?
# CMR
# ICD placement after ACS, indication
8/10/2020
# Aortitis Dx(DDx -cause) Tx Px
# HIT Dx Tx Px
# Thyroid storm Tx Px
# Aspiration PNA - cause
# Sinus tachycardia
emergent
urgent
possible
DM meds
insulin
PO meds
how often to f/u
and parameter to work on
Anemia meds and f/u
IV
PO
how often to f/u
treatment goal and f.u
Hyperkalemia (tx. indication)
Cardiac stablizing
K lowering(transient and ultimate)
Gout
initial regimen and workup
recurrent gout management
CXR reading(medmastery)
USG reading(POCUS CHEST)
HTN emergency
medication CTx. and Regimen
scenario book - response - goal
AC in ACS
heparin
bivalirudin
what else
DOAC related issue
contraindication in thrombocytopenia
LC
evaluation
p/ex.
lab
P/Ex
cardiac text make
point - clinical meaningful movement.
CXR/USG/RHC - clinical meaningful point.
