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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Alveoli: - CHF ... Pneumothorax Other Causes ... #Cardiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
lung disease or CHF ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... Diagnosis #Algorithm #causes
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... practice many chest ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
0.0015 mSv 1/14th CXRs ... 2-view chest 0.02 ... Chest CT 3 mSv ... #PatientInfo #Radiology ... Nuclear #Comparison #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... pulmonary disease or CHF ... Treat underlying cause ... Treatment #management #cardiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... On a Chest X-Ray ... On a CXR the most ... seen and in many cases ... #Diagnosis #Radiology
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... summarizes the causes ... vessels #Diagnosis #Radiology ... #CXR #HilarEnlargement
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Artery Disease • Stable ... Chest Wall Abnormalities ... Interstitium • ILD • CHF ... Diagnosis #Algorithm #Causes
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 ... the alveoli and cause ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation