Cardiovascular
AAA suspected -> abdominal aortic aneurysm Abdominal pain -> acute mesenteric ischemia Abdominal pain -> chronic gastrointestinal ischemia ACS suspected -> acute chest syndrome Acute coronary syndrome -> 30 day death or MI Acute coronary syndrome -> 30 day mortality Acute respiratory failure and infiltrates -> ARDS Aldosteronism clinically suspected -> primary aldosteronism Aortic dissection suspected -> thoracic aortic dissection Aortic injury suspected -> aortic injury Aortic stenosis -> heart failure Ascending aorta aneurysm suspected -> ascending aorta disease Bowel obstruction -> intestinal ischemia Cardiac bypass surgery -> post-op MI Cardiac disease -> LA enlargement Cardiac disease -> LV enlargement Cardiac disease -> rt heart enlargement Cardiac disease -> total heart enlargement Cardiomyopathy -> ischemic cardiomyopathy Carotid stenosis suspected -> carotid stenosis (> 40%) Carotid stenosis suspected -> carotid stenosis (0-40% or 100%) Carotid stenosis suspected -> carotid stenosis (50% to 69%) Carotid stenosis suspected -> carotid stenosis (50-69%) Carotid stenosis suspected -> carotid stenosis (70-99%) Carotid stenosis suspected -> carotid stenosis (occlusion) Cerebral aneurysm suspected -> cerebral aneurysm Cervical trauma -> cervical vascular injury Chest pain (all) -> acute MI Chest pain (all) -> acute MI or unstable angina Chest pain (all) -> coronary artery disease Chest pain (all) -> coronary artery spasm Chest pain (htn and abnl stress test) -> coronary artery disease Chest pain (LBBB) -> acute MI Chest pain (non-cardiac) -> GERD Chest pain (normal ECG) -> acute MI Chest pain (normal ECG) -> death or nonfatal MI in 30 days Chest pain (normal ECG) -> unstable angina Chest pain (previous CABG) -> coronary artery disease Chest pain -> adverse cardiac events at 30 days Dehydration suspected -> over 5% dehydrated Diabetes -> peripheral arterial disease DVT or PE -> low risk for recurrent DVT/PE DVT or PE suspected -> DVT or PE DVT suspected (asymptomatic post-op) -> DVT (all) DVT suspected (asymptomatic post-op) -> DVT (proximal) DVT suspected (symptomatic) -> DVT (all) DVT suspected (symptomatic) -> DVT (proximal) Headache -> sub-arachnoid hemorrhage Heart failure -> death or 30 d readmit Heart murmur (child) -> structural heart disease HF suspected ((asthma/COPD pt)) -> heart failure HF suspected -> heart failure HF suspected -> HF (diastolic) Hyperlipidemia as child -> LDL > 160 mg/dl (4.1 mmol/L) as adult Hypertension (child) -> secondary cause of HTN Hypertension -> high mean ambulatory diast BP Hypertension -> renal artery stenosis Hypertension suspected -> hypertension (> 140/90) Pancreatic CA suspected -> pancreatic CA PE suspected (adolescent) -> pulmonary embolism PE suspected -> pulmonary embolism Peripheral arterial disease suspected -> >50% stenosis Peripheral arterial disease suspected -> Occlusion Peripheral arterial disease suspected -> PAOD Pheochromocytoma -> localization Pheochromocytoma suspected -> pheochromocytoma Pre-eclampsia -> severe hypertension Previous venous thromboembolism -> pulmonary embolism Pulmonary embolism -> benign course PVST suspected -> portal venous system thrombosis Renal artery stenosis -> BP improvement Renal artery stenosis -> improved renal function Ruptured AAA suspected -> ruptured AAA Ruptured AAA suspected -> ruptured abdominal aortic aneurysm Screening (1st trimester) -> congenital heart defect Screening -> atrial fibrillation Screening -> congenital CV malformation Screening -> heart failure Sepsis suspected (any age) -> sepsis Stable angina (probable or definite) -> coronary artery disease Staging Hodgkins -> paraaortic nodes involved Stroke -> acute intracerebral hemorrhage Syncope -> 30-day mortality or serious cardiac event Syncope -> cardiac syncope TA suspected -> temporal arteritis TOS suspected -> thoracic outlet syndrome Unstable angina and nl 24 hr CK -> acute MI Unstable angina pectoris -> acute MI Varicose veins -> venous reflux Vascular surgery -> 30 day cardiac death or non-fatal MI