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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... dissection - SCAD • Pericardium ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
fat or effusion ... This causes a density ... x-rays and should ... #Clinical #Radiology ... #CXR #Lateral #
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
Pericardial effusion ... heart figure, we should ... #Clinical #Radiology ... #CXR #CTChest # ... Pericardial #Effusion
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... stomach bubble should ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... ultrasound to identify pericardial ... generally toward left shoulder ... toward the largest pericardial
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... About 950 ml removed ... frequently benign causes ... consider serious causes ... A4C #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... About 950 ml removed ... frequently benign causes ... consider serious causes ... PLAX #clinical #cardiology
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 ... → no signs of CXR ... of obstructive epicardial ... diagnosis #management #cardiology