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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