15 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #EKG #Electrocardiogram
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... embolism. ... A4c #clinical #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... #diagnosis #cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... suspicion) • +/- bubble ... No major-risk embolic ... #diagnosis #checklist
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... QRS complex Pulmonary ... Embolism: • T-wave ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
• Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... #Differential # ... #Diagnosis #Management ... #Workup