Cards Flashcards
Accurate test for aortic dissection/pneumonia/pneumothorax
CXR
Accurate test for pericarditis
EKG
Accurate test for ulcers
UGD
Accurate test for GERD
PPI
Accurate test for PE
Spiral CT or V/Q
Initial test for chest pain
EKG
Next step for chest pain if in an office?
In a hospital?
Transfer
CKMB + Troponin
What test should you run if an EKG is abnormal but chest pain etiology is unknown?
Stress test
Accurate test for CAD?
Angiography
Treatment for CAD?
Stent if 1-2 vessels
CABG if 2-3 vessels (2 with DM)
ASA + BBlock + nitro
Initial tests for ACS
EKG, myoglobin, CKMB, Troponin
Treatment for ACS
ASA + PCI + 2nd antiplatelet
Not time sensitive: BBlock + ACEi + Statin + Heparain
No mortality benefit: O2 + Nitrates
NSTEMI treatment
Heparin + G2b/3a inhibitor
Initial test for CHF
TTE
Accurate test for CHF
MUGA or Nuclear Ventriculography
Treatment for CHF
ACEi + BBlocker + Spironolactone + Hydralazine/Nitrates + defibrillator
No mortality benefit: diuretics + digoxin
Initial test for acute pulm edema
EKG
Treatment for acute pulm edema
O2 + loop + morphine + nitrates