22 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 ... Serial EKGS in pts ... #Diagnosis #Cardiology
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 ... pain, near-syncope ... Cardiac: • Valvular ... #Management #Algorithm
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
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
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
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
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... allow complete chest ... with continuous chest ... #AHA2020 #management