26 results
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... of Chest Pain - ... • Aortic Dissection ... • Pulmonary Embolism ... #table
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Obstruction • Aortic ... Infarction • Stable ... Non-lschemic • Aortic ... Dissection
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Type B Aortic Dissection ... Flap on POCUS Echocardiogram ... presents with chest ... Diagnosis? ... Dr.
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Tamponade, pulmonary ... systemic HTN, aortic ... dissection ... #Differential #Diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Vascular: - Aortic ... dissection - ... - Tamponade Pulmonary ... Causes of Chest
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... presenting with chest ... deficit • Shock ... #Dissection #diagnosis
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... dissection, aneurysms ... Pulm edema - Dr ... Exam #protocol #diagnosis ... #Ultrasound #pocus
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
• Ruptured aortic ... exacerbation (any cause ... flow) - Massive pulmonary ... pneumothorax Dr ... Classification #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... Classification #Types #diagnosis ... #table
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... dissection • ... Pneumothorax • Pulmonary