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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... Diagnosis #Causes #Cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
another patient with alveolar ... distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
can "recruit" alveoli ... In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... #criticalcare #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... AMS, SOB from CHF ... , Chest Pain • ... #differential #management ... #cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Stage III - Alveolar ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... finally into the alveoli ... a patient with CHF ... #Diagnosis #Radiology ... #CHF #CXR #Features
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... Kerley B lines, alveolar ... heartfailure #diagnosis #management ... #cardiology #pharmacology