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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Costochondritis - Tietze syndrome ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... 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,
Chest x-ray: signs ... bilateral pleural effusions ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
acute coronary syndrome ... the determined cause ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... About 950 ml removed ... consider serious causes ... #Cardiac #Tamponade ... PLAX #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... About 950 ml removed ... consider serious causes ... #Cardiac #Tamponade ... A4C #clinical #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... Treat underlying cause ... interventional radiology ... fluids (200–300 mL ... , SOB, pleural effusions