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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... of Chest Pain: ... Vascular: - Aortic ... of Chest Pain: ... • Pleura: - Effusion
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Point of Care Ultrasound ... Aneurysm - Papillary ... Muscle Rupture ... - Pericardial Effusion ... #Diagnosis #POCUS
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Obstruction • Aortic ... • Dilating Aneurysm ... pain often not ... • Pleural Effusion
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... • Esophageal rupture ... EKG • Bedside ultrasound
AAA is defined as a localized balloon-like dilatation of the abdominal aorta greater than 3cm. Risk
to the risk of rupture ... hypotension and pain ... have claimed that POCUS ... #Abdominal #Ultrasound ... #AAA #Aortic #Aneurysm
AAA Rupture on Abdominal POCUS

Elderly female with back pain and hypotension.  While sensitivity of ultrasound
POCUS Elderly ... female with back pain ... high, in this case ... #Aneurysm #Aorta ... #POCUS #clinical
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... pain, a normal chest ... Beside ultrasound ... In this case, the ... EM #Radiology #POCUS
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
large pleural effusion ... This case again ... the utility of POCUS ... #Lung #Ultrasound ... #POCUS #clinical
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
surrogate measure of brain ... The sagittal suture ... pressure and cranial ultrasound ... Breathing and chest ... coarctation of the aorta
Giant AAA on POCUS

Elderly pt with abd/back pain. Stable. Has pulsatile mass on exam spans 12
with abd/back pain ... Article has case ... 18 cm AAA non ruptured ... #clinical #ultrasound ... #abdominal #aneurysm