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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... • Pleura: - Effusion ... #Causes #Cardiology
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... filling of the alveoli ... proteinaceous material ... #Diagnosis #Radiology ... #Pulmonary #CXR
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... un lymphatic Diagnostic ... Kerley B lines, alveolar ... pleural effusions ... → no signs of CXR
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub
Pneumopericardium on POCUS ... He is in a left lateral ... Which diagnosis ... #pericardial #effusion ... #plax
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... finally into the alveoli ... a patient with CHF ... #Diagnosis #Radiology ... #CHF #CXR #Features
Dilated Cardiomyopathy on POCUS Echocardiogram

40yo otherwise healthy M presents with 1 wk SOB. His pmd diagnosed
His pmd diagnosed ... to associated pulmonary ... edema (bilateral ... Echocardiogram #Cardiology ... #clinical #PSAX
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
negative ECG, CXR ... ventricle suggesting pulmonary ... was metastatic pulmonary ... well, then 4mo later ... Echocardiogram #clinical #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest