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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 ... Initial workup: • EKG ... ultrasound • CXR ... Serial troponin; HEART
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... #Diagnosis #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g ... ., CXR, CT, ultrasound ... Inflammation (e.g ... symptoms (e.g., ... pain) and signs
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
typical boot shaped heart ... along with concave Pulmonary ... the most common cardiac ... #XRay #CXR #clinical ... #pediatrics #cardiology
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
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... (+LR 2.6) - Cardiac ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology