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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound ... • CXR • CBC
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Decompensated CHF ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... • Call for cardiac ... • Diagnostic ... thoracotomy is a better treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... Cardiac cath if ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
output because of cardiac ... results in decreased cardiac ... #Diagnosis #Radiology ... #CHF #CXR #Features ... Findings #Diagram #RadiologyAssistant
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology ... #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... stratification #diagnosis
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
and an enlarged cardiac ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... AlveolarEdema #RadiologyAssistant