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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR ... Serial troponin; HEART
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... have an acute cardiac ... , may have non-cardiac ... #CXR #Diffuse # ... Consolidation #Differential
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 ... along with concave Pulmonary ... the most common cardiac ... #XRay #CXR #clinical
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Muffled heart sounds ... of dyspnea and chest ... will show muffled heart ... collapse of RV - Treatment ... #Pericardial #Cardiac
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... GreatArteries #TGA #CXR ... Radiology #Diagnosis #Clinical
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Thrombus / Embolism: Cardiac ... strangulation), Heart ... /Vessels (Heart ... hypovolemia), Meds/Treatments
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... wall, since the heart ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... distribution • Heart
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... prosthetic valve NON-CARDIAC ... Pheochromocytoma • Pulmonary