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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Pneumothorax • Pulmonary ... score • PERC; Well
Diagnosis of Pulmonary Embolism in Pregnancy - EMCases Algorithm

Clinical Pearls:
 - Reproducible chest wall tenderness does
Diagnosis of Pulmonary ... - Reproducible chest ... wall tenderness ... consolidation on chest ... X-ray - Consider walk
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Embolism (chest ... Wall/Pleura ... Differential #Diagnosis #Algorithm
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Abnormalities • Chest ... Wall Abnormalities ... #Causes #Pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Differential Diagnosis Algorithm ... Chest Wall Abnormalities ... Differential #Diagnosis #Algorithm ... #Causes
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... Interpretation Algorithm ... Carboxyhemoglobinemia • Chest ... Wall or Neuromuscular ... Interpretation #Algorithm
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
(e.g. cardiac, pulmonary ... exams), and the chest ... patterns of findings will ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... - Tamponade Pulmonary ... Causes of Chest ... Wall/Airways: ... Pneumothorax Other Causes
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... of Dyspnea: • Chest ... Wall: - Kyphoscoliosis ... Obesity - Flail chest ... #pulmonary
Differential Diagnosis of Pleuritic Chest Pain:

Categorized by causes: Cardiac, Pulmonary, MSK, Drug/Toxins, Heme/Onc, Renal, Autoimmune

#Diagnosis #Pleuritic
Diagnosis of Pleuritic Chest ... Categorized by causes ... : Cardiac, Pulmonary ... Pleuritic #ChestPain #Causes ... #Differential #Algorithm