16 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR
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 ... evaluating for other causes ... #EKG #Pulmonary ... #diagnosis #cardiology
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Causes of Hemoptysis ... Algorithm Massive ... Malformation Normal CXR ... Embolism • Arteriovenous ... #Algorithm #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... Embolism (chest ... #Differential #Diagnosis ... #Algorithm #causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... Embolism ... #HeartFailure #Cardiology ... #Algorithm #causes
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... seen in 34% of cases ... #Embolism #ECG ... #clinical #cardiology
Lung Nodule - Differential Diagnosis Algorithm
Nodule on > 2 Years Without a Change in Size:
 •
- Differential Diagnosis ... Algorithm Nodule ... Tuberculosis • Septic Embolism ... #Algorithm #Causes ... #Pulmonary
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
Hampton hump is a radiologic ... may aid in the diagnosis ... of pulmonary embolism ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine