23 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... • Vasculature: PE ... • Alveoli: - CHF ... #Pain #ChestPain ... #Causes #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • ... Clinical presentation ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... - History - EKG ... SatyaPatelMD #ChestPain ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Initial workup: • EKG ... ultrasound • CXR ... Well score for PE
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... #Management #Cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... : EKG ($), ECHO ... Nuclear SPECT ($$$), PET ... CT/MRI ($$$$) ... Stress #Testing #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells