Diagnostic workup Flashcards
Q: List 5 next steps in your diagnostic workup.
1. EKG (about 80% of patients with an acute MI have an intitial EKG* that *shows evidence of new infraction* or *ischemia, if read correctly.
-among patients mistakenly discharged from the emergency department up to 50% have normal or non-diagnositc EKG findings)
2. Stress echo This is test of choice for woment with atypical chest pain.
-The echocardiography stress (Dobutamine) test has a sensitivity fo 90% and specificity of 79% for women and 85% and 96% for men.
3. Proton pump inhibitor a trial for 4-6 weeks for possible GERD
4. Chest X-ray (CXR) May be helpful to look for widened mediastinum, which can be evidence of aortic dissection.
5. Behavioral therapy to learn management strategies for anxiety and panic disorder
