43 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR ... Serial troponin; HEART
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Pericardial • Effusion ... • Cardiac Tamponade ... Thickening/Masses Chest ... Interstitium • ILD • CHF
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
typical boot shaped heart ... caused the upturned cardiac ... along with concave Pulmonary ... the most common cardiac ... #XRay #CXR #clinical
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
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... wall, since the heart ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Differential Diagnosis Algorithm ... Cardiac Causes ... out Left-Sided Heart ... #HeartFailure #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... classification, and the HEART ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... Diagnosis #Management #Cardiology