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7 Cards in this Set

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Wells criteria for acute PE + scoring
Symptoms of DVT (3 points)
No alternative diagnosis better explains the illness (3 points)
Tachycardia with pulse >100 (1.5 points)
Immobilization (>=3 days) or surgery in the previous four weeks (1.5 points)
Prior history of DVT or pulmonary embolism (1.5 points)
Presence of hemoptysis (1 point)
Presence of malignancy (1 point)

Probability of PE: >6 pts = high; 2-6 pts = moderate; <2 pts = low
Items in TIMI (Thrombolysis In Myocardial Infarction) for unstable angina/NSTEMI + scoring
Age ≥65 years
Presence of at least three risk factors for CHD (HTN, DM, dyslipidemia, smoking, or +Fam Hx of early MI)
Prior coronary stenosis of ≥50 percent
Presence of ST segment deviation on admission ECG
At least two anginal episodes in prior 24 hours
Elevated serum cardiac biomarkers
Use of aspirin in prior seven days (probably a marker for more severe coronary disease)

0-2 pts = low risk; 3-4 = intermediate risk; 5-7 = high risk
CHADS2 for score in atrial fibrillation for stroke risk
Cardiac (congestive or otherwise) failure, past or current (1 point)
Hypertension, treated or untreated (1 point)
Age >=75 years (1 point)
Diabetes Mellitus (1 point)
Secondary prevention in patients with prior ischemic stroke, TIA or thromboembolism (2 points)
CHADS2 scoring
Stroke risk per 100 person-years

0 Points: 0.25 ON Rx; 0.49 NO Rx
1 Point: 0.72 ON Rx; 1.52 NO Rx
2 Points: 1.27 ON Rx; 2.50 No Rx
3 Points: 2.20 ON Rx; 5.27 NO Rx
4 Points: 2.35 ON Rx; 6.02 NO Rx
5-6 Points: 4.60 ON Rx; 6.88 NO Rx
Sgarbossa criteria: what do they tell us?

Give criteria
EKG diagnosis of acute MI in the presence of LBBB.

ST segment elevation of 1 mm or more that was in the same direction (concordant) as the QRS complex in any lead — score 5.
ST segment depression of 1 mm or more in any lead from V1 to V3 — score 3.
ST segment elevation of 5 mm or more that was discordant with the QRS complex (ie, associated with a QS or rS complex) — score 2.

Score of 3 = specificity = 0.90 for acute infarction
Indications for emergency dialysis
fluid overload
hyperkalemia
symptomatic uremia (e.g. vomiting)
complications of chronic macrolide therapy
ototoxicity
QT prolongation