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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
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
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... #LAM #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... we see an old chest ... density on the chest ... #Clinical #Radiology ... #CXR #CTChest #
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
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Infarction - peripheral ... #Clinical #Diagnosis ... #Radiology #CXR ... #RadiologyAssistant
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
Embolism Diagnosis ... the chest x-ray ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism ... #RadiologyAssistant
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Sister had MI in ... Differential/diagnosis ... seen in 34% of cases ... #clinical #cardiology
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... #LAM #RadiologyAssistant