23 results
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... Differential Diagnosis ... • Aortic Dissection ... Pneumothorax • Cardiac ... diagnosis #table
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
on POCUS (PLAX ... What's the Diagnosis ... hemopericardium and tamponade ... #Aortic #Aorta ... Clinical #Ultrasound #POCUS
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Type B Aortic Dissection ... Flap on POCUS Echocardiogram ... presents with chest pain ... Diagnosis? ... the descending aorta
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... the wall of the aorta ... • Cardiac surgery ... #Dissection #diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Vascular: - Aortic ... dissection - ... Pericarditis - Tamponade ... #Diagnosis #Causes
Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next
Type A Aortic Dissection ... presents with chest pain ... No evidence of tamponade ... Hemopericardium #Aorta ... #POCUS #Clinical
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... dissection • ... tamponade • Esophageal
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... dissection • ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... #causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Obstruction • Aortic ... Infarction • Stable ... Dissection
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Diagnosis Algorithm ... • Effusion • Cardiac ... Tamponade* • ... • Abdominal Distention