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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 ... • Alveoli: - CHF ... Diagnosis #Causes #Cardiology
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 ... with old fims can ... #Clinical #Radiology
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
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... , Chest Pain • ... Pads in AP position ... differential #management #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... pain • Episodes can ... • Can perform ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... essentially Cardiogenic Shock ... algorithm #management #cardiology ... #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... OSA • Continue CPAP ... one post op Cardiology ... change CV risk Chest ... events or death (CARP
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
pressure (PCWP) and can ... features on the chest ... This can be seen ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... features, that can ... be seen on a chest-film ... a patient with CHF ... #Diagnosis #Radiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... effusion of > 75 ml can ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural