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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... - Tamponade Pulmonary ... • Alveoli: - CHF ... • Pleura: - Effusion ... Diagnosis #Causes #Cardiology
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... visible wall #CXR ... #Differential #Table ... #Cyst #Lung #Pulmonary ... #Diagnosis #Radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... On a Chest X-Ray ... detected on a chest ... #Diagnosis #Radiology ... #Pulmonary #CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... cavity? ... since a prior CXR ... injury to the lung ... large injury to lung
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... film (Table). ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
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 ... diagnosis #management #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... In the lungs LV ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
neuroexam - Oral cavity ... disease b) CHF ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... influenced by: Gravity ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema