Cardiology
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| Initial dx test to screen for & follow known AAA = | show 🗑
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| Abdominal US: advantages | show 🗑
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| show | pre-op or if US indeterminate; better defines shape & location/ extent of AAA
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| show | underestimate diameter
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| show | CXR; Echo (TTE vs TEE); CT/ MRI
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| show | CXR NOT dx alone (need CT or MRI to r/out if CXR neg)
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| show | wide aortic silhouette & mediastinum, poss L sided pleural effusion
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| Aortic Dissection Eval: Echo = | show 🗑
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| Aortic Dissection Eval: CT helpful in: | show 🗑
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| show | serial follow up
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| Aortic Dissection Eval: EKG = | show 🗑
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| show | D-dimer; LE Doppler/ US; if PE suspected, VQ scan versus spiral CT; hypercoaguable w/u if no identifiable predisposing event
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| show | d-dimer
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| show | sensitive, but not specific
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| d-dimer is best for _______ DVT, or PE | show 🗑
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| gold standard for suspected DVT, however it is rarely done | show 🗑
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| show | ultrasound
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| most common test for PE | show 🗑
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| gold standard for PE but rarely done | show 🗑
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| CHF on CXR | show 🗑
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| cardiac biomarkers for stable/unstable angina | show 🗑
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| show | Left ventriculogram; Arch shot; Coronary angiography to assess for blockages
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| Cardiac Cath: Indicated in: | show 🗑
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| show | sharp, linear densities of interlobular interstitial edema
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| CHF: Echo provides: | show 🗑
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| BNP: relationship to CHF: | show 🗑
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| BNP may be falsely elevated in: | show 🗑
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| HTN eval labs | show 🗑
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| show | duplex Doppler venous ultrasound
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| show | TTE only good to visualize aortic root (good for Marfan); TEE to visualize entire aorta, but is semi invasive (CT/ MRI better)
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| Hx angina but no acute sx; EKG no acute changes; next step: | show 🗑
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| show | Echo reduced EF; CXR Cardiomegaly; CXR Pulm edema
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| show | Echo LVH; EKG LVH; CXR Pulm edema
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| Echo features present in systolic HF & absent in diastolic HF | show 🗑
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| In a pt with HTN, CAD, A-fib, and multiple TIA episodes in last 2 weeks (currently asymptomatic), what test is next step in mgmt? | show 🗑
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| Patient with hx of HTN and CAD presenting with substernal CP is given SL NTG and then has syncope. What is next diagnostic step in mgmt? | show 🗑
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