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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 ... • Pleura: - ... Effusion - Pneumothorax
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Loculated effusion ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... on Chest CT • ... #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... Kerley B lines, alveolar ... effusions). 1/5 ... → no signs of CXR
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... edema and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
interstitium and the pleural ... finally into the alveoli ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... algorithm #management #cardiology ... #heartfailure #chf