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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... • Pleura: - Effusion ... 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,
Chest x-ray: signs ... Kerley B lines, alveolar ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Stage III - Alveolar ... space (pleural effusion ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
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
Air Bronchogram - Portable anterior–posterior chest radiography showed dense airspace disease with bilateral hemithorax opacification and
anterior–posterior chest ... sign in which the ... the surrounding alveoli ... #Clinical #Radiology ... #CXR #AirBronchogram
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
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 ... presentation of alveolar ... #Clinical #Radiology ... #CTChest #CHF #
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