32 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-effective tests ... Orthostatic BP • ECG ... • Ambulatory ECG ... indications: • Echocardiogram ... • Brain MRI • EEG
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... chest leads Cardiac ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... Vascular imaging → Test ... • Provoked (e.g ... CBC, aPTT, +/- CXR
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Cardiac Fibroma on Echocardiogram (a4c)

32yo asymptomatic male referred to clinics due to a "funny" ECG. 
Dx:
Cardiac Fibroma ... on Echocardiogram ... due to a "funny" ECG ... #clinical #cardiology ... #pocus
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... indicated, start CPR ... pericardiocentesis kit (eg ... Diagnosis #Management #Workup
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on POCUS ... Echocardiogram ... found what the lab work ... , EKG and CXR didn ... #Echocardiogram
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Echocardiogram ... Normal work up including ... negative ECG, CXR ... #Echocardiogram ... #clinical #cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
cardiomyopathy on Echocardiogram ... (A4C) ECG has ... Cardiac MR shows ... hypertrophic #clinical #cardiology ... #pocus