22 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #Diagnosis #Clinical
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Algorithm - AHA 2020 CPR ... decreasing, reassess CPR ... recommendation (eg ... (coronary) #ACLS
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
- ACLS Circular ... Algorithm - AHA 2020 CPR ... decreasing, reassess CPR ... recommendation (eg ... #circular #ACLS
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... WBC >100k, + lab signs ... acid, Elevated Cr ... unless worrisome EKG
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... diffuse STE, diffuse PR ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
Coronary Syndrome (ACS ... Abbreviations: ACS ... coronary syndrome; Cr ... , creatinine; ECG ... #Diagnosis #Cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... EGPA • ESR and CRP ... o infection • Echocardiogram ... recent DAN) • EMG