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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
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
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... carcinomatosis, HF ... dullness, puddle sign ... perforation), LDH
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
to diagnose the case ... excludes other differentials ... ’s called Frog sign ... Hussain Ch @Hussainch ... #Neck #Frog #Sign
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
this pattern was caused ... the central dot sign ... #Clinical #Radiology ... #CXR #CTChest # ... LCH #LangerhansCellHistiocytosis
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