Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 • Aortic dissection
 • Pneumothorax
 • Pulmonary embolism
 • Cardiac tamponade
 • Esophageal rupture
Initial workup:
 • EKG
 • Bedside ultrasound
 • CXR
 • CBC, BMP, LET, lipase, PT. aPTT
 • Serial troponin; HEART score
 • PERC; Well score for PE
 • CTA/VQ scan
Consider Other Conditions

Matthew Ho, MD PhD @MatthewHoMD

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