14 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
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 ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
episode of severe chest ... pain while walking ... to work. ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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 ... #Fibrillation #Cardiology ... #Management #Algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... pain, pericarditis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... symptoms may include chest ... pain, breathlessness ... Checklist #Diagnosis #Management ... #Workup
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... pain • Wellens ... sign B - Deeply ... accompanied by chest ... #electrocardiogram
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 ... #differential #management ... #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... chest to evaluate ... typically seen on chest ... CT ... differential #diagnosis #management