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Alogrithms - Amboss + UW

This document contains summaries and algorithms for a wide range of medical conditions and procedures. It includes sections on angioedema management, DVT treatment, acute chest pain differential diagnosis, atrial fibrillation rate control, nausea and vomiting in pregnancy, positive FOBT workup, criteria for methotrexate use, short stature workup, hypertension evaluation, corneal abrasion treatment, actively bleeding patient management, anemia workup, bilious vomiting differential diagnosis, meconium ileus workup, straining infant evaluation, ventilator-associated pneumonia treatment, Ottawa ankle rules, hyponatremia causes, ureteral stone treatment, enuresis/bladder dysfunction workup, delirium management

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Will H
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199 views

Alogrithms - Amboss + UW

This document contains summaries and algorithms for a wide range of medical conditions and procedures. It includes sections on angioedema management, DVT treatment, acute chest pain differential diagnosis, atrial fibrillation rate control, nausea and vomiting in pregnancy, positive FOBT workup, criteria for methotrexate use, short stature workup, hypertension evaluation, corneal abrasion treatment, actively bleeding patient management, anemia workup, bilious vomiting differential diagnosis, meconium ileus workup, straining infant evaluation, ventilator-associated pneumonia treatment, Ottawa ankle rules, hyponatremia causes, ureteral stone treatment, enuresis/bladder dysfunction workup, delirium management

Uploaded by

Will H
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Angioedema Mx

DVT management
Acute chest pain DDx
Rate control of A Fib
N/V in Pregnancy
FOBT positive
Criteria for TX use – MTX candidate

BREASTFEEDING IS C/I TO MTX

Short stature
HTN

#Algorithm

Corneal abrasion
Actively bleeding

BT if Hb <9
DDx for bilious vomiting

Meconium ileus, HD, Malrotation, Duodenal A; MI and HD - contrast enema.


Straining infant
VAP
back pain
Otawa ankle rules
Hyponatremia
Mx of ureteral stones
Enuresis/Bladder dysfunction
Delirium
SE Mx

#Neuro
EDH algorithm

The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Head Injury
recommends that patients who exhibit an EDH that measures less than 30 mL, is less than 15
mm thick, and has less than 5-mm midline shift, with no focal neurologic deficit and with GCS
greater than 8, can be treated nonoperatively. NO GLUCOCORTICOIDS
Carotid revasc algorithm

50-69% men vs women; asymptomatic >80; symptomatic >70

Algorithm for AIS

● LV) - hyperdense MCA sign/ CTA - FLOW VOID Mechanical thrombectomy is


independent of thrombolyisis - patient can be eligible for both/one/none
Peritonsillar abscess
HSV
1st line for migraines - PCM
DM screening
PPH algo
Preterm birth prevention

Indications for cerclage in 1st trimester - prior preterm + 2.5 or 2x2nd trimester preterm loses
GDM Dx
Preterm labor management

Risk factors include prior spontaneous preterm delivery, short interpregnancy interval (eg, <6-18
months), and genitourinary tract infection (eg, group B Streptococcus [GBS], Chlamydia
trachomatis).

Magnesium sulphate to decrease the risk of cerebral palsy, which is highest in infants delivered
at <32 weeks gestation.

Indomethacin is the first-line treatment at <32 weeks gestation because of its high efficacy and
few maternal adverse effects; as gestational age increases, however, indomethacin poses
greater fetal risks (eg, premature closure of the ductus arteriosus). Therefore, nifedipine is
preferred between 32 and 34 weeks gestation
Primary amenorrhea
Ovarian Ca screening

This is because the risk for ovarian cancer in the general population is low (~1.4%). In contrast,
the risk for ovarian cancer significantly increases with familial cancer syndromes such as
BRCA1 (~40%), BRCA2 (~20%), and Lynch syndrome (~8%).
AUB in <45 - workup needed vs >45

POST VS PREMENOPAUSAL ADNEXAL mass

CA 125 only in postmenopausal


Breast mass

#OBGYN
#Algorithm
Prolactin and TSH eval for B/L dischrge
#Algorithm PMB - always investigate PMB.

Endometrial biopsy is considered the gold standard for diagnosis of endometrial cancer due to
its high sensitivity and specificity. However, in postmenopausal women, a transvaginal
ultrasound may be performed initially; women with an endometrial thickness ≤4 mm have a low
likelihood of endometrial cancer and require no additional evaluation. In contrast, women with
an endometrial thickness of >4 mm require an endometrial biopsy because the likelihood of
endometrial cancer is increased.
#Algorithm
<4 hr, >7.5 gm = charcoal + levels -- NAC
PE approach

start AC if no C/I and highly likely


Early and effective AC improves mortality frm 30% to 2-8%
SPN algorithm

#Pulmonology
Pneumonia CURB 65 and Rx
UACS

Upper-airway cough syndrome (UACS) (eg, postnasal drip), gastroesophageal reflux disease
(GERD), and asthma cause >90% of chronic cough in nonsmokers without pulmonary disease
Massive hemoptysis

#Algorithm
Ventilator settings

Oxygenation - Fio2 and PEEP, Ventilation- paCo2 - RR and TV


PFT - RLD vs OLD
Gynecomastia
Acromegaly
PAI - cosyntropin
Hyperthyroid Algo
PP thyroiditis
Hyperaldosteronism Dx
DI water deprivation
Hypocalcemia - tetany algo

Despite PTH deficiency, phosphorus levels are normal or low in magnesium deficiency; this is
possibly due to intracellular phosphorus depletion.
Prolactinoma approach

If >3cm or macroprolactinoma not responding to DAs – trans sphenoidal resection


First Line DAs
Thyroid nodule
Hypercalcemia
Assessment of precocious puberty

girls age <8 or in boys age <9.


- BONE AGE ESTIMATION with Xrays of Wrist
- If central - elevated LH -MRI to confirm -- GnRH agonist for idiopathic
DVT algo
Breast mass - male/female
Blunt abd trauma BAT - depending on hemodynamic stability

Frank rigidity = peritonitis - immediate lap


HOCM Mx

Novel agents - mavacamten reduce contractility via modulation of cardiac myosin.


#Algorithm
Cardiac arrest

PEA/Asystole - CC only till shockable /rosc,


No use of Atropine
IV lidocaine only in monomorpic hemodynamically stable pt
Defib for VT/V fib pulseless.

MI - STEMI/ NSTEMI & UA

B blockers avoided if decomp HF or Brady. Frusemide for PE


IV fluids if hypotension - RVMI signs
Acute PE Algorithm and DVT criteria - Wells

#Algorithm

Wells criteria
Long-distance flights, although a risk factor for venous thromboembolism (VTE), do not qualify
as immobilization per Wells criteria,
Cp eval
Aortic aneurysm algo - if not a known case - and unstable -FAST

#Medicine
#Medicine
Tachycardia ACLS

#Algorithm
Ao Dissection
Hyperlipidemia algorithm

#Algorithm #Medicine
Pregnancy of unknown location - non diagnostic USG algorithm

#Algorithm

Quantitative BhCG every 48 hrs


>3500 discriminative zone - perform TVS to confirm

>6000IU -- TAS
PPROM

Prophylactic latency antibiotics: PPROM is commonly due to a subclinical intraamniotic


infection, and latency antibiotics prevent the infection from becoming fulminant, thereby
increasing the time interval between membrane rupture and delivery (ie, prolong latency).

Antenatal corticosteroids (eg, betamethasone): These are administered to promote fetal lung
maturation (eg, pneumocyte development, surfactant release), thereby reducing neonatal
morbidity and mortality.
#Algorithm
Monitoring of HMole - GTD

Contraception 6 months - HTD rare after 6 months. monitoring of BhCG difficult if pregnant.
Monitor weekly till undetectable. - continue till 6 months
#Algorithm

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