9 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... History and Exam Acute ... Pneumothorax • Pulmonary ... MatthewHoMD #Chest
Head Cheese Sign on Chest CT
 • Juxtaposition of distinct radiographic areas of low, normal and
Head Cheese Sign ... on Chest CT • ... distinct radiographic areas ... attenuation • DDx: sub-acute ... #CT #Lung #Pulmonary
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
An Approach to Acute ... (e.g. cardiac, pulmonary ... exams), and the chest ... Medicine #Dyspnea #Acute ... #Workup #Algorithm
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... chest to evaluate ... o infection • Echocardiogram ... typically seen on chest ... CT
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
on POCUS Echocardiogram ... sparing) indicates acute ... highly specific for pulmonary ... in RV infarct & acute ... chest syndrome.
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... cultures • UA • Chest ... ESR, +/- CRP • CT ... chest • Consider ... Neuroimaging • Echocardiogram
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... typically from acute ... strain related to pulmonary ... RV infarct or acute ... chest in pts with
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
on POCUS Echocardiogram ... with pleuritic chest ... ) suggests acute ... likely from a pulmonary ... #POCUS #Echocardiogram
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... • Pleuritic chest ... Uremia (blood urea ... infiltrate by chest ... radiograph or CT