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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... ultrasound • CXR ... Serial troponin; HEART ... score for PE • CTA
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
typical boot shaped heart ... caused the upturned ... cardiac apex due ... the most common cardiac ... #XRay #CXR #clinical
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
Total Artificial Heart ... contrast This is a cardiac ... CT with no contrast ... #CardiacCT #CCTA ... #CTS #clinical
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... wall, since the heart ... This causes a density ... #CXR #Lateral # ... Cardiac #Incisura
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
interstitial edema due to cardiac ... heart failure. ... The other cause ... #Clinical #Radiology ... #CXR #Acute #Interstitial
ASD and Bidirectional Shunt on Cardiac CTA
Cardiac CTA ASD with “artistic rendering” of a bidirectional shunt.
Bidirectional Shunt on Cardiac ... CTA Cardiac CTA ... CCTA for chest pain ... Bidirectional #Shunt #CardiacCTA ... CCTA #diagnosis #clinical
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
pericardium: - CXR ... leftward shift of the cardiac ... displacement of the heart ... CMRI #cardiology #chest ... #radiology #clinical