11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... • CBC, BMP, LET
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... See thread for POCUS ... Pulmonary embolism ... (II, III, AVF)(pattern ... #Embolism #ECG
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... - Rule out Left-Sided ... Embolism ... Arterial Hypertension ... #HeartFailure #Cardiology
On a chest film only the outer contours of the heart are seen.
In many cases we
On a chest film ... Left Atrium - Most ... atrium. - Left ... #Anatomy #Radiology ... #Cardiac #Chambers
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... Normal or small chamber ... size • Normal left ... embolism • Re-expansion
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... the table on the left ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... cause injury by ... ↑ ESR, CRP • EKG ... Treat underlying cause
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... aortic root, and left ... atrium should roughly ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... leads V5-6 • Left ... QRS complex Pulmonary ... Embolism: • T-wave ... #ecg #ekg #electrocardiogram