16 results
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
•
exercise intolerance, chest ... pain, near-syncope ... Cardiac: • Valvular ... Decompensated HF • New ischemia ... #Management #Algorithm
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 ... pain, as they result ... Serial EKGS in pts ... #Diagnosis #Cardiology
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 ... pain, breathlessness ... Diagnosis #Management #Workup
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... pain - PE will ... 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 ... Algorithm that ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... PainECG: Bad ... Ischemia? ... Administer sedative & pain
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... pain • Wellens ... accompanied by chest ... deviation) • Acute ischemia ... #EKG #diagnosis
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... pain, a normal chest ... root, and left atrium ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
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