38 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... : • EKG • Bedside ... ultrasound • ... #Algorithm #workup
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
pain ECG: non ... leads Cardiac MRI ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Clinicoradiological Findings → Clinical ... biopsy) e.g. ... and/or cytology (e.g ... of alternative causes ... #diagnosis #Workup
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • ... Clinical presentation ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Many underlying causes ... tissue d/o, blunt chest ... Assess for MR when ... #Ultrasound #Clinical ... #Cardiology #MitralValve
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
Chest pain, good ... but nonspecific ECG ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS ... #Echocardiogram
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 ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical