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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... Costochondritis - Tietze syndrome ... • Alveoli: - CHF ... #Causes #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Artery Disease • Stable ... Acute Coronary Syndrome ... Chest Wall Abnormalities ... Interstitium • ILD • CHF
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... or tumor cells (Table ... long standing sarcoidosis ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... the lung bases ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
and Associated ... pleura in severe cases ... Respiratory Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... shunting (eg, pulmonary ... hepatopulmonary syndrome ... #Differential #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... - Cirrhosis Syndrome ... carcinoma of the lung ... hemorrhage) - Pulmonary ... #Table #Causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Respiratory Distress Syndrome ... • Chronic Lung ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
- Observe and ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treat underlying cause
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... bronchiectasis, CF ... ABPA Kartagener's syndrome ... #CT #Lung #Pulmonary ... #diagnosis #radiology