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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myopericarditis • Vascular ... - Tamponade Pulmonary ... • Alveoli: - CHF ... #Pain #ChestPain ... Diagnosis #Causes #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Mediastinal Causes: - Vascular ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... Differential #Diagnosis #Algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Management #Algorithm
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... 0.25), murmur of valvular ... Chest x-ray: signs ... diagnosis #management #cardiology
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #Vascular #Engorgement
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... - Peripheral vascular
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
left decubitus position ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... This patient’s clinical ... exam findings and clinical ... structural and vascular ... #Radiology #CTChest