15 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR ... Serial troponin; HEART ... score for PE • CTA
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
who had recent cardiac ... enlargement of the heart ... change in the heart ... #Clinical #Radiology ... #CTS #CXR #PostSurgical
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... wall, since the heart ... pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... bilateral pleural effusions ... CXR congestion. ... Consider cardiac ... diagnosis #management #cardiology
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... large pericardial effusion ... #POCUS #clinical ... Echocardiogram #Cardiology
Hemopericardium on Autopsy 
Autopsy result of hemorrhagic pericardial effusion and cardiac tamponade. The myocardial wall is
and cardiac tamponade ... literally smother the heart ... #CTS #thoracic ... #cardiology #clinical ... #video
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... large pericardial effusion ... #POCUS #clinical ... Echocardiogram #Cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
stages, each with its ... in congestive heart ... In daily clinical ... patients with chronic heart ... #CHF #CXR #Stages
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... algorithm to determine ... Obtain EKG if: ... Change in clinical ... one post op Cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
circulation and its ... of the resting cardiac ... time for coronary perfusion ... #diagnosis #algorithm ... #management #clinical