12 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Acute myocardial infarction ... • Pulmonary embolism ... • Cardiac tamponade ... score • PERC; Well
Complications Following Myocardial Infarction
Heart Failure - Ineffcient pumping of the heart.  Can be acute or
Regurge Mural Thrombus ... Leading to emboli ... External (myocardial wall ... rupture, Leading to cardiac ... #Diagnosis #Cardiology
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Left Ventricular Thrombus ... cardioembolic work ... #Cardiac #Arterial ... echocardiogram #Cardiology ... #A4c #Embolism
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... ) 48 year old woman ... the context of embolism ... #cardiology
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
Examination Elderly woman ... massive pulmonary embolism ... right ventricular infarction ... patients after cardiac ... #Neck #Veins #Cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... ) 48 year old woman ... the context of embolism ... blood cultures, cardiac ... PSAX #clinical #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(4) All 4 cardiac ... (5) Layered clot ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... hypovolaemia; primary cardiac ... arrhythmia; myocardial infarction ... ); circulatory embolus ... Diagnosis #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph walk ... Skin exam for infection ... exam Determine Cardiac ... one post op Cardiology ... change CV risk Chest
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
not resolving call ... o Circulatory embolism ... → 3-5 o Cardiac ... ischaemia (or infarction ... #Management #Workup