13 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... History and ... Pneumothorax • Pulmonary ... embolism • Cardiac ... ultrasound • CXR
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... heart valves • MRI ... valve pathology, History ... often seen • MRI ... #Endocarditis #comparison
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... Typically with history ... Serial EKGS in pts ... Sign #EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... #EKG #Electrocardiogram ... #clinical #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... Differential Diagnosis ... Endemic fungi: Histo ... #diagnosis #pulmonary ... #CXR #clinical
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
Embolism Diagnosis ... emboli the chest ... emboli, which were ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... embolus 3. ... ancestry, LGE on MRI ... Clinical • Under-recognized ... deteriorating on medical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Take a thorough history ... Medical history ... event, follow ACC algorithm ... Change in clinical ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... fatigue, altered mental ... with presence of pulmonary ... #algorithm #management ... #cardiology #treatment