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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Diagnosis Framework ... • Alveoli: - CHF ... Pneumonia • Pleura ... #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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... lesions abutting the pleura ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... edema, bilateral pleural ... → no signs of CXR ... #heartfailure #diagnosis
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Pulmonary #CXR
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... base against the pleural ... may aid in the diagnosis ... confirmed with chest ... #photo #CXR #EmergencyMedicine
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 #
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... Bilateral pleural ... diagnostic list ... #Clinical #Radiology ... #CTChest #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
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... interstitium and the pleural ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features