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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 ... edema - Large ... effusion(s) may ... #Checklist #CHF ... #HeartFailure #Cardiology
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
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
, marked pedal edema ... echocardiogram to workup ... circumferential pericardial effusion ... Echocardiogram #a4c ... pocus #clinical #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Prednisone 5mg/kg ... myalgias, HoTN, edema ... and effusions, ... - pulmonary opacities ... sepsis), PE, DAH, CHF
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
caused by a rigid chest ... Silicosis - Coal worker ... edema in acute ... edema • Metabolic ... #STARCHASERS #radiology
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
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... The pulmonary vessels ... All these findings ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC ... indication of AC ... one post op Cardiology ... change CV risk Chest