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Next week I'll be giving a talk at the Society of Hospital Medicine Annual Conference (#hospmed19).
In anticipation, I'd love your thoughts on a few cases/questions.
I'll be discussing your answers and my thoughts on Tuesday 3/26 at 11am.
In anticipation, I'd love your thoughts on a few cases/questions.
I'll be discussing your answers and my thoughts on Tuesday 3/26 at 11am.
Case 1:
A 60-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure. After initial evaluation in the emergency department, including a normal ECG and one negative troponin, he is admitted to medicine for “ROMI”.
A 60-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure. After initial evaluation in the emergency department, including a normal ECG and one negative troponin, he is admitted to medicine for “ROMI”.
Case 1, Question 1
After a second troponin returns negative, would you suggest a stress test?
After a second troponin returns negative, would you suggest a stress test?
Case 1, Question 2
If you answered "Yes", what is the primary goal of the stress test?
[MACE = acute myocardial infarction + death; CAD = coronary artery disease]
If you answered "Yes", what is the primary goal of the stress test?
[MACE = acute myocardial infarction + death; CAD = coronary artery disease]
Case 2 (same stem at Case 1)
A 60-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure. After initial evaluation in the emergency department, including a normal ECG and one negative troponin, he is admitted to medicine for “ROMI”.
A 60-year-old man with hypertension and hyperlipidemia presents with substernal chest pressure. After initial evaluation in the emergency department, including a normal ECG and one negative troponin, he is admitted to medicine for “ROMI”.
Case 2, Question 1
What form of DVT chemoprophylaxis would you order?
What form of DVT chemoprophylaxis would you order?
Case 2, Question 2
Imagine you had to choose between administering DVT prophylaxis to ALL of your hospitalized medical patients or administering it to NONE of your hospitalized medical patients.
Which would you suggest?
Imagine you had to choose between administering DVT prophylaxis to ALL of your hospitalized medical patients or administering it to NONE of your hospitalized medical patients.
Which would you suggest?
