32 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... Serial troponin; HEART
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... dilated IVC - Cardiac ... Tamponade - Pulmonary ... Cardiac surgery?
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
(eg, acute valvular ... hypertension or cardiac ... measured on PAC are -cardiac ... output (ie, cardiac ... #NormalValues #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... Classification #types #diagnosis ... #criticalcare #differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... catheterization • Thoracic ... Pulse deficit/differential ... deficit • Shock ... opiates • Control heart
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac ... Losses (bums, heat ... #diagnosis #differential
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... CARDIAC POWER OUTPUT ... ., PE, right heart ... much as 40% in cardiac ... artery #catheter #diagnosis
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Diagnosis Framework ... Goodpasture's, SLE Cardiac ... endocarditis), Heart ... hemorrhage (DAH), AVM, Thoracic ... #Diagnosis #pulmonary