15 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... chest/abd/back pain ... Pulse deficit/differential ... BP: • Control pain
Type A Aortic Dissection on Suprasternal Notch View - POCUS
Sudden onset chest pain. Disturbingly normal vitals.
Type A Aortic Dissection ... on Suprasternal Notch ... Sudden onset chest pain ... Type A Aortic Dissection ... - VCU Ultrasound
Suprasternal view of the aortic arch showing aortic dissection

Where does the top of the screen represent
dissection Where ... patient with chest pain ... #dissection #aorta ... #Suprasternal #Notch ... POCUS #clinical #ultrasound
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Vascular: - Aortic ... dissection - ... #ChestPain #Differential ... Diagnosis #Causes #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... dissection • ... Initial workup: • EKG ... • Bedside ultrasound
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest pain ... x-ray and and ECG ... Beside ultrasound ... dissection.- Michael ... #Clinical #EM #Radiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Obstruction • Aortic ... Dissection ... Embolism (chest pain ... ChestPain #Noncardiac #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Cardiogenic shock, ECG ... taken for Primary PCI ... from LMCA into aortic ... CathLab #clinical #cardiology
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... /V/diaphoresis Aortic ... Dissection: - ... COPD, asthma, CF, PCP ... Management #Algorithm #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... -4 can have no pain ... electrocardiogram #cardiology ... Interpretation #differential