31 results
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... of Chest Pain - ... • ACS • Aortic ... Dissection • ... Pneumothorax • Cardiac
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... presenting with chest ... • Cardiac surgery ... deficit • Shock ... #Dissection #diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Vascular: - Aortic ... dissection - ... • Pleura: - Effusion ... #Differential #Diagnosis
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Point of Care Ultrasound ... Dissection - Aortic ... - Pericardial Effusion ... @emspocus #Diagnosis ... #POCUS #Echocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... dissection • ... EKG • Bedside ultrasound
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Obstruction • Aortic ... Non-lschemic • Aortic ... Dissection ... • Pleural Effusion
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... dissection • ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... #Algorithm #causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... - Differential Diagnosis ... • Cardiac Tamponade ... Chest Wall Abnormalities ... • Abdominal Distention
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... infarction • Aortic ... dissection - proximal ... OTHER RARE CAUSES ... • PRIMARY Cardiac
Aortic Dissection Flap on Abdominal POCUS

Older patient found-aphasia, left sided weakness. Last known well 90min ago.
Aortic Dissection ... found-aphasia, left sided ... STROKE.Grabbing chest ... Echogenic pericardial effusion ... #POCUS #Ultrasound