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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 ... #Pain #ChestPain ... #Differential #
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
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 patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... pulmonary flow, interstitial ... edema and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
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 ... edema, bilateral pleural ... → no signs of CXR ... diagnosis #management #cardiology