8 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... MatthewHoMD #Chest
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... chest pain - ... paradoxus - ECG ... show low voltage QRS ... #Pericardial #Cardiac
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... chest to evaluate ... recent DAN) • EMG ... typically seen on chest ... CT
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... accompanied by chest ... #differential #
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... symptoms may include chest ... patients with a pre-existing ... consultation with cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... murmur 3/6) - Pulmonary ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... flip-flopping in the chest ... Pheochromocytoma • Pulmonary ... Flag Symptoms: • Chest ... #Differential #