24 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... : • EKG • Bedside ... , PT. aPTT • Serial ... #Algorithm #workup
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... clinically indicated (e.g ... . echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... exams), and the chest ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
POCUS Echocardiogram ... presents with chest ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... #hematology #diagnosis ... #algorithm #hematology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... of dyspnea and chest ... paradoxus - ECG ... Tamponade #Becks #Triad ... #Diagnosis #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Cheat Sheet 1) ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... A4c #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... #Management #Cardiology