46 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Workup Algorithm History ... Pneumothorax • Pulmonary ... 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
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... #Management #treatment
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Air-Fluid Level on Chest ... latent TB s/p treatment ... pack year smoking history ... #ChestXRay #Clinical ... #Pulmonary #Radiology
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
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... History/Physical ... level <100 pg/ml EKG ... ischemic changes CXR ... #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 ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
arteriopathy with • Medial ... Plexiform-lesion formation Clinical ... not specific • Chest ... procedure: • Median ... Bypass Other Treatment