17 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... , PT. aPTT • Serial
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology ... #Diagnosis #Clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Pericarditis, Tamponade ... EKG Findings: ... #Myocarditis #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... - Pulmonary ... Cardiac surgery?
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
in Pulmonary Hypertension ... can be masked by pulmonary ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C #Cardiac
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... in diagnosing cardiac ... #Tamponade #POCUS ... #clinical #ultrasound ... #trauma #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... and timing with Cardio-OB ... deteriorating on medical ... follow-up with Cardio-OB
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis