25 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Workup Algorithm History ... life-threatening causes ... Initial workup: • EKG ... ultrasound • CXR
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... Typically with history ... period without chest ... Serial EKGS in pts ... #Diagnosis #Cardiology
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 ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... In these cases comparison ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... History/Physical ... level <100 pg/ml EKG ... ischemic changes CXR ... #cardiology
Case – 26M with no medical history presents with chest pain and palpitations. He states that
no medical history ... presents with chest ... symptoms or family history ... #Clinical #Cardiology ... #ECG #EKG #ARVD
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... Differential Diagnosis ... Endemic fungi: Histo ... #diagnosis #pulmonary ... #CXR #clinical
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... chronic illness, clinical ... between these chest ... #Clinical #Diagnosis ... #Radiology #CXR