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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
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
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
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
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
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

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