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diagnosis radiologyassistant cardiology cxr alveolaredema edema management atrial causes differential afib cephalization chest chestpain chronic contusion dependent dyspnea engorgement evaluation
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Differential Diagnosis Algorithm ... Arrhythmia • Atrial Fibrillation ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Algorithm
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Myopericarditis • Vascular ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... Diagnosis #Causes #Cardiology
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
On the left another patient with alveolar edema at admission, which resolved after treatment. When you scroll
another patient with alveolar ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
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
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 ... Kerley B lines, alveolar
Notice that even within each lobe there is a gravity dependent difference in density. This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... 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
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