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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 ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
bleeding into the alveoli ... we see an old chest ... has caused a triangular ... density on the chest ... #Clinical #Radiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
and an abnormal chest ... extensive filling of alveoli ... respond promptly to treatment ... #Clinical #Radiology ... EosinophilicPneumonia #RadiologyAssistant
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... disease or CHF) ... #management #cardiology ... #algorithm
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... filling of the alveoli ... #Radiology #CXR ... #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant