11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... be detected on CT ... or CXR ● PaO2/ ... Summary #CheatSheet #Diagnosis
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 ... distress syndrome (ARDS ... lung injury (TRALI
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... may aid in the diagnosis ... of pulmonary embolism ... In this case, pulmonary ... with chest CT angiography
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
CD4 > 200: Pulm embolism ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... #diagnosis #evaluation
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
radiographic features of acute ... Embolism Diagnosis ... pulmonary emboli ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... Treat underlying cause
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... pleural effusions • Acute ... acute respiratory ... Exclude other causes ... embolism -
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... QRS complex Pulmonary ... Embolism: • T-wave ... #cardiology #ecg