26 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... History and Exam Acute ... life-threatening causes: • Acute ... Pneumothorax • Pulmonary ... : • EKG • Bedside
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... female with chest pain ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #diagnosis #ekg
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... SSRIs) Severe pain ... #Diagnosis #Table
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Arthritis: • Acute ... joint trauma (e.g ... #MSK #rheumatology ... #approach #workup ... #differential #
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Pain (<72 hours ... ) - Differential ... : R/O cardiac, pulmonary ... Metabolic disease (e.g
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... Infarction and Pulmonary ... associated with rheumatologic ... it difficult to differentiate ... Presentation #comparison #Table
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... women • DDx: Acute ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... cardiogenic shock (eg ... , acute valvular ... #NormalValues #Differential ... #Table #Chambers