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cervical smear, ACS tx, ECG dx - Coggle Diagram
cervical smear
hrHPV +ve
cytological exam
evd
refer for colonoscopy
no evd
repeat smear at 12m
-ve
return to normal recall
+ve but cyt normal
repeat again at 12m (now 24m)
return to normal recall
refer for colonoscopy
+ve
refer for colonoscopy
ACS tx
NSTEMI/UA
low bleed risk
+
angio not being performed immediately
aspirin 300mg + fondaparinux
hypotensive
coronary angiography → PCI
GRACE
over 3%
CA → PCI w/n 72h
under 3%
dual AP: aspirin + ticagrelor
STEMI
px w/n 12h of sx onset
+
PCI can be done w/n 120m (2h)
PCI
PCI ≠ be done in 120m (2h)
fibrinolysis
+
antithrombins
if persistent myocardial ischaemia
PCI mx
chest pain/gen acs
2ndary prevention
DABS
initial mx
MONA Sick
ECG dx
STEMI
ST elevation in ≥2 continuous leads
OR
new LBB
+
clinical symp ≥20m
NSTEMI
incr troponin
UA
normal troponin