[Q for NOTE] August 2020

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

Ao. dissection protocol
 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.