8 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... : • EKG • Bedside ... , PT. aPTT • Serial ... score • PERC; Well
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
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... Transesophageal Echocardiogram ... severe abdominal pain ... ECG: AF. ... CHA2DS2VASc: 5.
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
include chest pain ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Diagnosis #Management #Workup
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... 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
Solitary Cell Plasmacytoma

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