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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 ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... Langerhans cell histiocytosis ... seen and in many cases ... #Diagnosis #Radiology ... Interstitial #Pattern #Differential
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 #
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
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
pulmonary apices caused ... by a rigid chest ... Langerhans cell histiocytosis ... lung #diseases #differential ... #STARCHASERS #radiology
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