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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... Diagnosis #Causes #Cardiology
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... to filling of alveoli ... Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
- Alveolar proteinosis ... Others: - Pulmonary ... abnormalities (Pulmonary ... infarction/PE, CHF ... Pneumonia #diagnosis #pulmonary
Acute Pulmonary Embolism:

"D" sign:
In a physiologically normal heart, LV pressure > RV pressure. When viewing heart
Acute Pulmonary ... complications of a sizable pulmonary ... specific in acute pulmonary ... FleischnerSign #Hamptonhump ... #D-sign #McConnell'ssign
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Filling of the alveolar ... interstitium or alveolar ... filling of the alveoli ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Alveoli • Pneumonia ... • Neoplasm Pulmonary ... Interstitium • ILD • CHF ... • Sarcoidosis Pulmonary ... Vessels • Pulmonary
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
This is known as alveolar ... - Alveolar proteinosis ... filling of the alveoli ... #Diagnosis #Radiology ... #Pulmonary #CXR
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 ... SeptalThickening #CHF
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF) ... Treatment #management #cardiology
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Interstitial Edema, Alveolar ... Crazy Paving: Alveolar ... Honeycombing: Idiopathic Pulmonary ... Differential #Diagnosis #pulmonary ... #radiology