Precision

Question 1

Health maintenance for AAA?

Answer 1

Avoid heavy lifting and vigorous physical activity

Question 2

Diagnostics and Lab Studies for AAA?
What will you use for:
Initial
If AAA is unstable
Gold standard

Answer 2

Initial + Unstable = Abdominal US
Gold standard = CT w/ Contrast

Question 3

Formulating most likely Dx for AAA.
Who is most likely to get?
Symptoms?
PE?

Answer 3

White men >65 YO w/ smoking history
Asymptomatic until expanding/ruptures. Rupture = sudden, severe, constant back/flank/abd/groin pain and/or in shock
Palpable Pulsatile abd mass on PE

Question 4

Pharmacotherapeutics for Acute MI?

Answer 4

Acute - MONA - Morphine, Oxygen, Nitrates, Aspirin
Anticoagulants - LMWH/Unfrac (usually with + troponin)
Clot busters for STEMI
Subacute medications - BB, ACEi, Statins

Question 5

Diagnostic and Lab studies for Acute MI?

Answer 5

12 Lead EKG within 10 mins in ED
STEMI - ST elevation in two anatomically contiguous leads w/ reciprocal changes
Troponin is positive in STEMI & NSTEMI

Question 6

Formulating most likely Dx, What do you see for Acute MI, Anterior?

Answer 6

ST elevation in V1-V4 with reciprocal changes