10 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myopericarditis • Vascular ... : - Aortic dissection ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
Progressing to diffuse alveolar ... normal-sized heart and vascular ... the differential diagnosis ... #Clinical #Radiology ... #CXR #ChestXRay
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
There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... is considered a positive ... #Clinical #Diagnosis ... #Radiology #CXR ... #ChestXRay #Aortic
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
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 ... un lymphatic Diagnostic ... Kerley B lines, alveolar ... → no signs of CXR
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... risk (>5%): - Aortic ... stratification #diagnosis
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... have made the diagnosis ... has changed in position ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... structural and vascular ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest