13 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... : • EKG • Bedside ... , PT. aPTT • Serial ... MatthewHoMD #Chest #Pain
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... female with chest pain ... Triage EKG (no prior ... Activate cath lab ... Embolism #POCUS #Echocardiogram
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
manifestations of active ... • History of BCG ... immunocompromised (e.g ... used to exclude pulmonary ... Testing #Diagnosis #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... surgery, trauma, active ... - No other workup ... Hypercoagulable #Workup
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... severe abdominal pain ... ECG: AF. ... CHA2DS2VASc: 5. ... Mobile #LA #TEE #Echocardiogram
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
POCUS Echocardiogram ... presents with chest pain ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... : Axial spondyloarthritis ... (e.g. ankylosing ... spondyloarthritis (e.g ... psoriatic arthritis, reactive
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... Symptoms: • Chest pain ... /Afib/WPW) • Loss
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Wilson's disease Pulmonary ... Spondyloarthropathies, SLE • Pulmonary ... Hyperparathyroidism • Facial ... disease, Vasculitis (e.g
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Mass on POCUS Echocardiogram ... 57yo M with chest pain ... Normal work up including ... negative ECG, CXR ... outpatient & ED workup