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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Initial workup: • EKG ... ultrasound • CXR ... MatthewHoMD #Chest
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #Diagnosis #Clinical
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
of Chest Pain: ... - Tamponade Pulmonary ... Causes of Chest ... Costochondritis - Tietze syndrome ... #Causes #Cardiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
infarction Takotsubo (stress ... wave inversion syndrome ... #Differential #Diagnosis ... #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
pronounced in the chest ... occur on the same ECG ... In case of chest ... #Diagnosis #Cardiology ... #EKG #ECG #Early
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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
<35 years old, e.g ... • Functional (e.g ... , weight loss, stress ... Prolactinoma • Chest ... Stalk Damage (e.g
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis