6 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 ... MatthewHoMD #Chest
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
POCUS Echocardiogram ... presents with chest ... 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
flip-flopping in the chest ... exam • 12-lead ECG ... Valvular disease (e.g ... Flag Symptoms: • Chest ... /Afib/WPW) • Loss
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... cultures • UA • Chest ... release assay (e.g ... +/- CRP • CT chest ... Neuroimaging • Echocardiogram
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT chest ... o infection • Echocardiogram ... recent DAN) • EMG ... typically seen on chest