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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 ... • Alveoli: - CHF ... Pneumonia • Pleura ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... practice many chest ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... edema, bilateral pleural ... → no signs of CXR ... #cardiology #pharmacology ... #sCHF
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... interstitium and the pleural ... a patient with CHF ... #Diagnosis #Radiology ... #CHF #CXR #Features
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
Intensivist's One-Page Cheat-Sheet ... symptoms Imaging • CXR ... numerous B-lines, pleural ... nickmmark #COVID19 #Cheatsheet ... #Diagnosis #Management