26 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... MatthewHoMD #Chest
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
An Approach to Acute ... physical exam (e.g ... . cardiac, pulmonary ... exams), and the chest ... #Workup #Algorithm
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... week of becoming acute ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g ... Inflammation (e.g ... symptoms (e.g., ... production, pleuritic chest
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... #Diagnosis #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... Relevant drug levels (e.g ... Trauma - Acute ... rigidity) Consider EEG ... #Diagnosis
Head Cheese Sign on Chest CT
 • Juxtaposition of distinct radiographic areas of low, normal and
Head Cheese Sign ... on Chest CT • ... attenuation • DDx: sub-acute ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... may aid in the diagnosis ... confirmed with chest ... CT angiography. ... EmergencyMedicine #CriticalCare