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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... • Alveoli: - CHF ... • Pleura: - Effusion ... Diagnosis #Causes #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... effusion(s) may ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... resolved after treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
myalgias, HoTN, edema ... and effusions, ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... Pharmacology: • ACE ... diagnosis #management #cardiology
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
Failure (HFrEF) Treatment ... patients have edema ... recommended by the ACC ... /ambcarerx #CHF ... #StageC #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... diagnosis #management #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
edema. ... pressure resulting in edema ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
vascular pedicle All ... are dealing with pulmonary ... edema due to heart ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and Peripheral Edema ... with presence of pulmonary ... edema (“B-lines ... algorithm #management #cardiology ... #heartfailure #chf