differentials
topics
differentials
fever
headache
altered mental status
chest pain
H: Typical (substernal, inducible, relieved by rest/NG), radiating to the arm/neck/jaw P: Hypotensive
Acute Coronary Syndrome
#ACS
ACS more likely due to [***history],[***physical], and [***diagnostics]. DDx less likely due to no [***history], [***physical], and [***diagnostics].
Diagnostics
- - F/u EKG. May see t wave changes, ST ele, ST dep. Here are even more words and more words and even more words to see what happens.
- - Trend troponin q3h. May see elevations in MI. Infarction results in myocytes releasing cardiac enzymes. More words to see what happens.
Last Updated: 7/14/22, UpToDate
H: Sudden, tearing pain, radiating to the back P: Hypotensive, asymmetric BP
Aortic Dissection
H: Pleuritic pain, relieved by sitting up P: Hypotensive, JVD, distant heart sounds
Cardiac Tamponade
H: Dyspnea, pleuritic pain P: Hypotensive, tachycardic, tachypneic
Pulmonary Embolism
H: Dyspnea P: Hypotensive, tachypneic
Tension Pneumothorax
dyspnea/respiratory distress
abdominal pain
tachycardia
bradycardia
hypotension