25 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR ... Serial troponin; HEART
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells ... #sign #ClotInTransit
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #Diagnosis #Clinical
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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Heart failure with ... Fraction (HFrEF) Clinical ... → no signs of CXR ... Consider cardiac ... diagnosis #management #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... below level of heart ... Diagnosis #Management #Workup
On the left a patient with CHF. 
There is an increase in heart size compared to
an increase in heart ... Other signs of CHF ... supine film the cardiac ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Normal work up including ... negative ECG, CXR ... outpatient & ED workup ... Echocardiogram #clinical ... #cardiology #PLAX