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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Causes #Cardiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
(JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
pain, pleural effusion ... tends to cause ... disease/pulmonary ... pathophysiology #signs ... #symptoms #diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... interstitial opacities - Fine ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis ... #CXR #Consolidation
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... On a Chest X-Ray ... #Diagnosis #Radiology ... #Pulmonary #CXR
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
since in many cases ... we describe a chest ... visible wall #CXR ... #Pulmonary #Diagnosis ... #Radiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... #management #cardiology