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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... dissection • Pneumothorax ... • Pulmonary embolism ... • CXR • CBC ... MatthewHoMD #Chest
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Embolism, Pneumothorax ... edema), Lung Exam, POCUS ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... Management #treatment #criticalcare
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
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
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... places - Flail chest ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
Lung point with CT Chest Sag correlate on Lung POCUS 

Dr. Robert Jones @RJonesSonoEM

#LungPoint #Pneumothorax #Lung
Lung point with CT ... Chest Sag correlate ... on Lung POCUS ... #LungPoint #Pneumothorax ... #ultrasound #Pulmonary
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine ... #CriticalCare #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Double Lung Point seen in a Small Pneumothorax on Lung POCUS

Young male with stab wound to
seen in a Small Pneumothorax ... on Lung POCUS ... stab wound to chest ... Upright CXR normal ... #ultrasound #Pulmonary