6 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... pain/dyspnea. ... #Embolism #ECG ... #clinical #cardiology
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
• Amiodarone half ... Dyspnea 3. ... Pleuritic chest ... Exclude other causes ... embolism -
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
x-ray (CXR), try ... His dyspnea continued ... Pulmonary Contusion ... Most commonly caused ... #Radiology #CTChest
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... Treat underlying cause ... Facial swelling, dyspnea ... ± tocilizumab; call ... renal failure, pulmonary
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
diagnosis: - Dyspnea ... /amniotic embolism ... Rule out other causes ... congestion on a CXR ... Cardiomyopathy #Cardiology