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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Exam Acute life-threatening ... Pneumothorax • Pulmonary ... EKG • Bedside ultrasound ... • CXR • CBC
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... leukocytosis, left-shift ... #Pulmonolary
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... hypertension; CXR ... , chest X-ray; HPAH ... lung disease; LFT ... #Diagnosis #Peds
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... pneumonia in lower left ... AirBronchogram #POCUS #CXR ... #Lung #Pulmonary ... #Clinical
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
chest. ... focusing on lower chest ... Diagnosis? ... #Spine #Sign #clinical ... #ultrasound #Pulmonary
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Hilar Anatomy on Chest ... branches and the pulmonary ... Pulmonary artery ... Hilar #Anatomy #Chest ... #XRay #CXR #clinical
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... GreatArteries #TGA #CXR ... ChestXRay #Radiology #Diagnosis ... #Clinical
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
On the left a patient ... CT to rule out pulmonary ... The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... presents with chest ... most support her diagnosis ... Thrombus #InTransit #clinical ... #ultrasound #echocardiogram