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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pulmonary embolism • Cardiac ... ultrasound • CXR ... #Pain #Diagnosis
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... Pressure like CP ... severe, tearing CP ... onset pleuritic CP ... vomiting retrosternal CP
Good vs Bad CPR on POCUS TEE during Cardiac Arrest
POCUS TEE can be utilized intra-arrest to
Good vs Bad CPR ... POCUS TEE during Cardiac ... intra-arrest to augment CPR ... KPSono @KpSono #CPR ... TEE #clinical #acls
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Evaluation Algorithm ... Algorithm that ... (+LR 2.6) - Cardiac ... #Evaluation #diagnosis
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... for Chest Pain ... pain is complex ... when scanning CP ... Shock #Crashing #Diagnosis
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... - AHA 2020 CPR ... decreasing, reassess CPR ... (coronary) #ACLS
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Adult Cardiac Arrest ... - ACLS Circular ... Algorithm - AHA ... 2020 CPR Quality ... decreasing, reassess CPR
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... CBC, aPTT, +/- CXR ... Workup #hematology #diagnosis ... #algorithm #hematology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
titer, ACE level, CXR ... years with neck, chest ... , and low back pain ... (to support a diagnosis ... laboratory #workup #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... change CV risk Chest ... postoperative cardiac ... stratification #diagnosis