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Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary ... #cardiology #electrocardiogram
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
25, PCWP 8-12, Cardiac ... Right-to-Left Shunt Tamponade ... Medicine @ucsdim #PA ... #Hemodynamics #Cardiology ... #diagnosis
Pericardial Tamponade Beck's Triad 1. Hypotension 2. Jugular venous distension 3. Muffled heart sounds Patient will be
chest pain - PE ... paradoxus - ECG ... #Pericardial #Cardiac ... #Triad #Diagnosis ... #Cardiology
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
- Differential Diagnosis ... Pericarditis - Tamponade ... Pulmonary Causes ... • Vasculature: PE ... #Causes #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... • Pericardial Tamponade ... Pulmonary Causes ... #HeartFailure #Cardiology
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
- Differential Diagnosis ... Respiratory: • Pulmonary ... Tamponade ... Syndrome #Syncope #Cardiology ... #Algorithm #causes
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology
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?
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... #cardiology
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