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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 ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
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
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... of CHF. ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... the determined cause ... #diagnosis #differential ... #heartfailure #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
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... Bilateral pleural ... be high in the differential ... #Clinical #Radiology ... #CTChest #CHF #
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
this pattern was caused ... most challenging differential ... the central dot sign ... #Clinical #Radiology ... #CXR #CTChest #