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An Algorithm for the Evaluation of Chest Pain #Diagnosis #Management #EM #IM #Chest #Pain #ChestPain #Evaluation
Pain #Diagnosis ... #Management #EM ... #IM #Chest #Pain ... #ChestPain #Evaluation ... #Ddxof
Differential Diagnosis of Pleuritic Chest Pain:

Categorized by causes: Cardiac, Pulmonary, MSK, Drug/Toxins, Heme/Onc, Renal, Autoimmune

#Diagnosis #Pleuritic
Pain: Categorized ... causes: Cardiac, Pulmonary ... #Pleuritic #ChestPain ... #Differential #Algorithm ... #Ddxof
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... Pain: • Chest ... #Pain #ChestPain
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Algorithm that ... SatyaPatelMD #ChestPain ... #diagnosis #Algorithm ... #cardiology #Angina
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... pain often not ... Radiculopathy #ChestPain ... #Algorithm #causes
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Limb ischemia Pulmonary ... asthma, CF, PCP #ChestPain ... #Diagnosis #Management
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
reasonably exclude ACS ... years - No further diagnostic ... troponin to exclude ACS ... recommended #ChestPain ... #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... dependent DM ACS ... algorithm to determine ... medical and surgical management ... stratification #diagnosis