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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Pain: • Chest ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
- Loculated effusion ... effusion • Atelectasis ... #TB #Patterns #chest ... xray #clinical #radiology ... #CXR
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... pleural effusion ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... on Chest CT • ... by an exudative effusion ... #Sign #CT #Lung ... Pulmonary #diagnosis #radiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... reach the anterior chest ... be seen on many chest ... #CXR #Lateral #
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... pain, pleural effusion ... on CXR • RA inflammation ... pathophysiology #signs
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... lesions abutting the pleura ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... places - Flail chest ... abdominal viscus #cxr ... trauma #diagnosis #signs ... #radiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR ... diagnosis #management #cardiology