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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD ... Pain: • Chest ... Other Causes of Chest ... Diagnosis #Causes #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... reach the anterior chest ... be seen on many chest ... #Clinical #Radiology
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Necessitans (EN) on Chest ... coughed and now his chest ... erodes into the chest ... fluid into the chest ... Fusobacterium Treatment
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... • Pleuritic chest ... infiltrate by chest ... procalcitonin level Treatment ... Diagnosis #Management #treatment
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
and an abnormal chest ... Like in COP we see ... respond promptly to treatment ... #Clinical #Radiology ... #CTChest #Eosinophilic
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... collapse of RV - Treatment ... Triad #Diagnosis #Cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... film and can suggest ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Check AP window ... Can you see hemidiaphragms ... radiologistpage #Chest ... Interpretation #Checklist #radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... it can be very ... detected on a chest ... many cases UIP can ... #Diagnosis #Radiology