10 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pneumothorax • Pulmonary ... : • EKG • Bedside ... , PT. aPTT • Serial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
maneuvers • Give adenosine ... Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... management #cardiology #algorithm
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
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
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
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
camera detects radio ... significantly worse on echocardiogram ... Acute pulmonary ... myocardium Severe pulmonary ... when baseline EKG
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
presents with pain ... red bone marrow, e.g ... SPB - commonly axial ... Oncology #Diagnosis #Workup