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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Pericardium: - Pericarditis ... - Tamponade Pulmonary ... • Pleura: - Effusion ... #Causes #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Aneurysm • Pericarditis ... • Pleural Effusion ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
has pericardial effusion ... with similar peri effusion ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
Light's Criteria

Medical Nugget on Light's Criteria for diagnosis of Exudative Pleural Effusion in adults and children.
Light's Criteria for diagnosis ... Exudative Pleural Effusion ... differential #ddxof #pulmonary ... #im #radiology ... #clinical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus #clinical ... #cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... The diagnosis based ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF #RadiologyAssistant
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... TMA • Cardiac: pericarditis ... hepatitis • Pulmonary ... : pleural effusion
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Asbestosis #Diagnosis ... #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... Pulmonary hemorrhage ... #Clinical #Diagnosis ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant