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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... EKG • Bedside ultrasound ... • CXR • CBC ... , PT. aPTT • Serial
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... - Pulmonary symptoms ... pain) and signs
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... .2016.12.033 #Halo #Sign ... #diagnosis #radiology ... #clinical
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... Feeding #Vessel #Sign ... #diagnosis #radiology ... #clinical
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... Chilaiditi sign ... #Chilaiditi #Sign ... #Chest #XRay #CXR ... #clinical #radiology
Spondylolysis & Spondylolisthesis: Pathogenesis and Clinical Findings

Pars interarticularis stress fracture (spondylolysis) - most frequently in the
Pathogenesis and Clinical ... — scotty dog sign ... vertebrae • CT ... pathophysiology #signs ... #symptoms
COVID-19 Signs and Symptoms at the time of Presentation

Fever
Myalgia
Headache
Rinorrhea
Sore Throat
Dyspnea
Chest Tightness
Cough
Sputum
Hemoptysis
Nausea/Vomiting
Diarrhea

Dr. Josh Farkas @pulmcrit via Internet
COVID-19 Signs and ... Throat Dyspnea Chest ... Sputum Hemoptysis Nausea ... iBookCC #COVID19 #Signs ... #Symptoms #Diagnosis
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
incidentally during medical ... evaluation or workup ... organ-specific signs ... or symptoms (eg ... #Differential #diagnosis
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
This Patient With Chest ... : The Rational Clinical ... #EBM #Diagnosis ... #Cardiology #ACS ... #Signs #LikelihoodRatios
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #