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MI EKG (STEMI) -or- elevated troponin (non-STEMI)
CHF CXR -or- elevated BNP
CAD positive cardiac catheterization (not in ED)
Angina exertional CP w/ Hx of CAD
PE CTA chest (CT chest w/ IV contrast)
COPD CXR w/ Hx of smoking
Hemorrhagic CVA CT head -or- LP
Meningitis LP
Spinal cord injury CT - cervical/lumbar/thoracic spine
Appendicitis CT A/P w/ PO contrast
SBO CT A/P w/ PO contrast, AAS
Cholecystitis US RUQ
GI Bleed Guaiac (Heme) positive
Diverticulitis CT A/P w/ PO contrast
Pancreatitis Elevated lipase
GERD Endoscopy (not in ED)
UTI UA (WBC, nitrite, or bacteria)
Pyelo CT A/P, UTI w/ CVA tenderness on exam
Kidney stone CT A/P (RBC in UA may be a clue)
Ectopic pregnancy US pelvis
Ovarian torsion US pelvis
Testicular torsion US scrotum
AAA CT A/P w/ IV contrast dye
Aortic dissection CT chest w/ IV constrast dye
DVT US/doppler of the extremity
DKA arterial blood gas showing low pH -or- positive serum ketones
Created by: slb23310