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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Initial workup: • EKG ... • Bedside ultrasound
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
ECG characteristics ... pronounced in the chest ... occur on the same ECG ... In case of chest ... #Diagnosis #Cardiology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... Algorithm May ... dizziness, syncope, chest ... #Arrhythmias #Cardiology ... #Algorithm #causes
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... collapse of RV - Treatment ... #Becks #Triad #Diagnosis ... #Cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
is desirable, e.g ... radiation dose Ultrasound ... for non-calculus causes ... scan) when an ultrasound ... stones #calculus #Radiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Cardiovascular Causes ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis ... #Algorithm #causes
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... physical activity - Nausea ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... in refractory cases ... #Pericarditis #Cardiology ... #Diagnosis #Signs
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #management #cardiology ... #algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis