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 ... ultrasound • CXR ... MatthewHoMD #Chest
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
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 ... #A4c #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
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
Chest pain, good ... ECG? ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS ... #Echocardiogram
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram
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
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... In these cases comparison ... #Clinical #Radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Endemic fungi: Histo ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical
Case – 26M with no medical history presents with chest pain and palpitations. He states that
no medical history ... presents with chest ... second most common cause ... #Clinical #Cardiology ... #ECG #EKG #ARVD