11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... ultrasound • CXR ... MatthewHoMD #Chest ... #Algorithm #workup
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... with history of angina ... period without chest ... #Diagnosis #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... (+LR 2.6) - Cardiac ... - History - EKG ... #Algorithm #cardiology ... #Angina
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... symptoms may include chest ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Left-Middle-Lobe Pneumonia - Radiography of the chest revealed a cardiac apex, aortic arch, and gastric bubble
Radiography of the chest ... revealed a cardiac ... #Clinical #Radiology ... #CXR #Kartagener ... SitusInversus #NEJM
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... un lymphatic Diagnostic ... Chest x-ray: signs ... of CXR congestion ... Consider cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... Unstable Angina ... change CV risk Chest ... stratification #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Pneumonia (CAP) - Diagnosis ... Management Pneumonia Signs ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT