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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... practice many chest ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... bronchial obstruction caused ... #Clinical #Radiology ... #CXR #CTChest #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... 81% for acute HF ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Adequate perfusion ... essentially Cardiogenic Shock ... the determined cause ... algorithm #management #cardiology ... #heartfailure #chf
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... pulmonary disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
amount of force is required ... x-ray (CXR), try ... not seen on a CXR ... Most commonly caused ... #Radiology #CTChest