18 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... Initial workup: • EKG ... • Bedside ultrasound ... #Diagnosis #Algorithm
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... Examine for: • Pulse ... deficit/differential ... blood pressure: e.g ... #Dissection #diagnosis
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diagnostic Algorithm ... : R/O cardiac, pulmonary ... Ruptured abdominal aortic ... Metabolic disease (e.g ... Diagnosis #Algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Obstruction • Aortic ... ChestPain #Noncardiac #Cardiology ... Diagnosis #Algorithm
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... female with chest pain ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... /V/diaphoresis Aortic ... PEX: New murmur, Pulse ... Limb ischemia Pulmonary ... #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic ... patients with pulmonary ... #Diagnosis #cardiology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
disease, Vasculitis (e.g ... Rheumatic fever • Aortic ... Diminished peripheral pulses ... #differential # ... diagnosis #rheumatology