**Source:** http://www.svuhradiology.ie/case-study/mediastinal-widening-cxr/

The Cheese - A Predictive Clinical Tool for Aortic Dissection

September 20, 2024

Picture the following encounter: A 52-year-old male presents with chest pain. He seems comfortable and is slightly hypertensive to 156/83, but the rest of his vital signs are normal. He admits to using cocaine prior to the onset of chest pain. He denies any radiation of pain or other associated symptoms. When you are going through your differential, you consider aortic dissection, and you wonder if there are any tools to help you decide if this patient should get a CT angiography (CTA) study to further evaluate for aortic dissection.

Taylor Wahrenbrock, MD and Kathryn McGregor, MD

The Heart Of The Matter - A Case of Acute Chest Pain

September 6, 2024

The Case:

An 85-year-old woman with PMHx of inferior MI s/p VVI pacemaker for atrial fibrillation with slow ventricular response comes in to the ED with acute chest pain. An ECG is obtained on arrival (Figure 1).

Michael Hohl, MD

The Cheese - The HEART Score

August 30, 2024

“So what’s the dispo?” The looming question over every Emergency Department patient. Your 63-year-old patient with chest pain has had two normal EKGs and troponins, yet something in your gut is telling you that maybe this person needs admission. But is your gut feeling good enough to warrant admission? Is there any risk stratification tool out there to help you decide? And if so, is it useful and valid? Here, we discuss a landmark article in Emergency Medicine: “A Prospective Validation of the HEART Score for Chest Pain Patients in the Emergency Department”.

Taylor Wahrenbrock, MD

the County Consult