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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... : • EKG • Bedside ... MatthewHoMD #Chest ... #Algorithm #workup
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 ... Decompensated HF • New ischemia ... #Management #Algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... symptoms may include chest ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... exams), and the chest ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
Polo Mint Sign on ... Chest CTPartial ... a rim contrast material ... #Polo #Mint #Sign ... #diagnosis #radiology
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... Diagnostics: Chest ... non-sinus rhythm or cardiac ... ischemia Dr. ... #Exacerbation #Algorithm
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
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 ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... chest to evaluate ... typically seen on chest ... CT