Changes

A serum '''troponin''' level is something that is checked by the [[Emergency Room|ER]], not to rule out [[TIMI Risk Score|active cardiac ischemia]] but to guarantee [[Admission|admission]].   '''Indications'''----A '''troponin''' should be checked in a patient whose '''troponin''' level shouldn't be checked (i.e. [[Foot|foot]] pain). As it is ultimately going to be slightly positive, it is a quick and dirty way to get a patient transitioned to the inpatient setting. When checking a '''troponin''', the main etiologies of concern are [[Door-to-Balloon Time|STEMI]] and NSTEMI. However, there are numerous other causes of an elevated '''troponin''' and they encompass both the significant (sympathomimetic use, recent [[CHEST|chest]] trauma, demand ischemia from [[Septic Shock|sepsis]] or [[Irregularly Irregular|arrhythmia]], and [[HD|renal failure]]) and the insignificant (yawning, one [[Cough|cough]], thinking, chewing, [[Charting|working]],<ref>[http://gomerblog.com/2015/04/troponin-leak/ 99% of Health Care Practitioners Have a Troponin Leak at Work (Gomerblog)]</ref> and waving hello).  '''Special Scenarios'''----It is often debated whether or not it is normal for a '''troponin''' bump in a patient to cause a '''troponin''' bump in the patient's intern. It is not only expected but it is in fact pathognomonic for any health care professional, not just the [[July Intern|July intern]].<ref>[http://gomerblog.com/2017/07/troponin-bump/ Intern Has Mild Troponin Bump Over Patient's Mild Troponin Bump (Gomerblog)]</ref>