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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... MatthewHoMD #Chest
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology
Heart Pressures - Reference Cheat Sheet
Formula Review Guide for Heart pressure American Society of Echocardiography
Pressures - Reference Cheat ... Echocardiography - Right Atrial ... PVR) - Left Atrial ... Pressure #Heart #Cardiac ... Pressures #Formulas #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... CXR #ChestXRay #Radiology ... #Diagnosis #Clinical
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 ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... exams), and the chest ... Dyspnea #Acute #Workup
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... PHTN #ChestCT #CTChest ... #Radiology #cardiology ... #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
Progression - normal chest ... lead ECG shows ... toward the left chest ... #Diagnosis #Cardiology ... #MedStudent #EKG