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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... embolism • Cardiac ... ultrasound • CXR ... Serial troponin; HEART ... MatthewHoMD #Chest
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... sounds, JVD and ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... caused the upturned cardiac ... the most common cardiac ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Underlying structural heart ... #TR #Lancisis #Sign ... #Clinical #Video ... #Cardiology
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #Diagnosis #Clinical
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... have an acute cardiac ... , may have non-cardiac ... #Diagnosis #Radiology ... #Pulmonary #CXR
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
pericardium: - CXR ... leftward shift of the cardiac ... silhouette, Snoopy sign ... #chest #radiology ... #clinical
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... right side of the chest ... against the anterior chest ... #Clinical #Radiology ... Cardiac #Incisura