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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... Hyperventilation (Anxiety, pain ... Classically” noted with pulmonary ... embolism (with
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... EKG findings in acute ... evaluating for other causes ... Arrhythmia* (e.g., A-Fib
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Differentiate Acute ... Infarction and Pulmonary ... Embolism In contrast ... life-threatening causes ... such as MI or aortic
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood-gas barrier ... of acute respiratory ... crackles, chest pain ... Embolism: • Acute ... smaller emboli
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
mm is needed to cause ... : - Acute kidney ... - Pulmonary edema ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
hump along may aid ... embolism. ... In this case, pulmonary ... embolism was confirmed ... EmergencyMedicine #CriticalCare
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
pleural effusions • Acute ... toxicity (e.g., acute ... Pleuritic chest pain ... Exclude other causes ... embolism -
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... the determined cause ... #differential #algorithm ... heartfailure #chf #criticalcare