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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... of Chest Pain: ... : - Aortic dissection ... Causes of Chest ... Pain: • Chest
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Obstruction • Aortic ... : - Vascular ... pain often not ... #Differential #
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... presenting with chest ... Pulse deficit/differential ... Dissection #diagnosis #management ... #vascular
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... pain/dyspnea. ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... flip-flopping in the chest ... Pheochromocytoma • Pulmonary ... pain: Underlying ... #Differential #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... risk (>5%): - Aortic ... - Peripheral vascular ... change CV risk Chest ... medical and surgical management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
pain. ... pain as non-radiating ... structural and vascular ... Most commonly caused ... #Radiology #CTChest