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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... • Alveoli: - CHF ... #Causes #Cardiology
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... , Thrombosis, (pulmonary ... (coronary) #ACLS ... Algorithm #AHA2020 #management ... #adult
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Adult Cardiac Arrest ... - ACLS Circular ... , Thrombosis, (pulmonary ... #circular #ACLS ... Algorithm #AHA2020 #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... unless severe APLS ... #management #hematology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... dependent DM ACS ... • <12mo since ACS ... medical and surgical management ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... #management #cardiology
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
reasonably exclude ACS ... years - No further diagnostic ... troponin to exclude ACS ... and depression management ... #management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #AFib #diagnosis ... #management #cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages