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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... • Alveoli: - CHF ... • Pleura: - Effusion ... Pain #ChestPain #Differential ... Diagnosis #Causes #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
the only way to detect ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... bradycardia #diagnosis #differential ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... logical sequence of signs ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
most challenging differential ... the central dot sign ... helpfull in the differential ... #Clinical #Radiology ... #CXR #CTChest #
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... be high in the differential ... #Clinical #Radiology ... #CTChest #CHF #
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar