14 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... dissection • ... Initial workup: • EKG ... ultrasound • CXR
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... • Cardiac surgery ... blood pressure: e.g ... #Dissection #diagnosis
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... #Diagnosis #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #EKG #Electrocardiogram
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... x-ray and and ECG ... dissection.- Michael ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... infarction • Aortic ... dissection - proximal ... patients with pulmonary ... #Diagnosis #cardiology
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
injury (e.g., cardiac ... Pericardial perforation (e.g ... Radiation Aortic ... dissection (with ... #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... #diagnosis #cardiology