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Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
ACS • Aortic Dissection ... • Pulmonary Embolism ... • Pneumothorax ... MatthewHoMD #ChestPain
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic dissection ... - Tamponade Pulmonary ... - Effusion - Pneumothorax ... #Chest #Pain #ChestPain
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
• Aortic Dissection ... • Myocarditis Pulmonary ... Vascular • Pulmonary ... Pleura • Pneumothorax ... Radiculopathy #ChestPain
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic dissection ... • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... tamponade, or tension pneumothorax ... Pulmonary embolism ... or pneumothorax
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
diaphoresis Aortic Dissection ... Limb ischemia Pulmonary ... Pneumothorax: - ... asthma, CF, PCP #ChestPain
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... valvular rupture, dissection ... failure from massive pulmonary ... embolism or severe pulmonary ... filling) → tension pneumothorax
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... valvular rupture, dissection ... Cold and Dry) • Pulmonary ... filling) → tension pneumothorax ... water #Shock #Classification
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 • Predominately horizontal lines
 • A-lines are repeated horizontal &
COPD and also a pneumothorax ... Commonly seen in pulmonary ... - MCW EM Ultrasound ... #Lung #POCUS #pulmonary ... #clinical #comparison