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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... of Chest Pain: ... : - Effusion ... #Pain #ChestPain ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Aneurysm • Pericarditis ... Effusion ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
of pericardium (Pericarditis ... ) -> Chest Pain ... , pleuritic chest ... pain, pleural effusion ... inflammation tends to cause
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... of Dyspnea - Differential ... Diagnosis Pulmonary/Chest ... effusion, Pneumonia ... Anemia, Arrhythmia, Pericarditis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... Lymphadenopathy, Chest ... factor • May cause ... Focal pneumonia, pleural ... effusion, or bronchitis
Pericardial Lymphoma on POCUS Echocardiogram

“Anaconda inside pericardial cavity” - Pericardial effusion with mass inside in a
mass inside in a case ... presented with dyspnea ... and chest pain. ... #Lymphoma #POCUS ... Echocardiogram #clinical #cardiology
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... , pleural effusions ... , and multiple liver ... bacterial infection caused ... #NEJM #clinical
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
and exudative pleural ... effusions • Acute ... Dyspnea 3. ... Fever 4. ... pain 5.
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
pain. ... pain as non-radiating ... signs: BP 118/75, HR ... This post will focus ... His dyspnea continued