8 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Workup Algorithm History ... dissection • Pneumothorax ... • Pulmonary embolism ... ultrasound • CXR ... , PT. aPTT • Serial
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... that helpful, but comparison ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... In daily clinical ... Diagnosis #Radiology #CHF ... #CXR #Stages #Findings
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 ... disease b) CHF ... Change in clinical ... change CV risk Chest
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #heartfailure #chf
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... e.g. incidental CXR ... • Natural history ... , cough, chest pain ... Diagnosis #Management #Signs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... presentation and history ... x-ray (CXR), try ... not seen on a CXR