26 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Initial workup: • EKG ... ultrasound • CXR ... Serial troponin; HEART ... MatthewHoMD #Chest
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... develops after birth Chest ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical ... #pediatrics #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... wall, since the heart ... be seen on many chest ... #Clinical #Radiology
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
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
encounter a large heart ... On the chest x-ray ... while on the CT ... #Clinical #Radiology ... #CXR #CTChest #
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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... bilateral pleural effusions ... CXR congestion. ... Consider cardiac
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
pericardium: - CXR ... leftward shift of the cardiac ... displacement of the heart ... #chest #radiology ... #clinical
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