113 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... : • EKG • Bedside ... ultrasound • CXR ... MatthewHoMD #Chest
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g ... ., CXR, CT, ultrasound ... symptoms (e.g., ... production, pleuritic chest
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
episode of severe chest ... while walking to work ... A 12-lead ECG is ... Wellens #Syndrom #ECG ... #Clinical #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... vasculature - Egg-on-a-string ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... #diagnosis #Management ... #treatment #criticalcare
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct ... pulmonary vessel ... #diagnosis #radiology ... #clinical
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... exams), and the chest ... Dyspnea #Acute #Workup