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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Pleura: - Effusion ... Pneumothorax Other Causes ... #Cardiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
and left pleural effusion ... subcostal 4-chamber POCUS ... #s4c #POCUS #echocardiogram ... #POCUS #clinical ... #ultrasound #cardiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Anatomy Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Cardiovascular Causes ... / Mediastinal Causes ... • Pleural Effusion ... Sarcoidosis Other Causes ... ChestPain #Noncardiac #Cardiology
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... #Clinical #Radiology ... #HRCT #CTChest
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Many underlying causes ... tissue d/o, blunt chest ... Echocardiogram #Ultrasound #Clinical ... #Cardiology #MitralValve
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... pericardial fat or effusion ... This causes a density ... be seen on many chest ... #Clinical #Radiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... could pinpoint the cause ... has pericardial effusion ... Echocardiogram #clinical ... #cardiology #A3C