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Typical Chest Pain vs. Atypical Chest Pain

CARDIOLOGY, HealthCare, HOSPITAL MEDICINE

Typical (classic) angina chest pain consists of (1) Substernal chest pain or discomfort that is (2) Provoked by exertion or emotional stress and (3) relieved by rest or nitroglycerine (or both). Atypical (probable) angina chest pain applies when 2 out of 3 criteria of...

Deep-Vein Thrombosis (DVT)

HealthCare

TX: -Anticoagulation -Early mobilization. “Ambulation should be encouraged as soon as is feasible.” UTD -PCDs Common Causes of inherited hypercoagulable states Factor V Leiden mutation Prothrombin gene mutation Protein S deficiency Protein C deficiency...

Urinary Tract Infections (UTI)

HealthCare

“Catheter-associated urinary tract infections (CAUTIs) are the leading cause of secondary nosocomial bloodstream infections; about 17% of hospital-acquired bacteremias are from a urinary source, with an associated mortality of approximately 10% (SOR B). An...

H&P and Discharge Summaries

HealthCare

https://psnet.ahrq.gov/primers/primer/11 The Joint Commission requires that discharge summaries be completed within 30 days of hospital discharge “According to one review, 49% of patients had at least one post-discharge medical error (SOR B). Adverse drug events...

Anticoagulation length after VTE

HealthCare, HOSPITAL MEDICINE

Q: How long should a patient be anticoagulated after a VTE? To answer this question, you need to ask yourself: Was this a provoked or unprovoked VTE? Was this the first time or is this a recurrent VTE? What is the patient’s bleeding risk? What are the risk...