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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Pericarditis - Tamponade ... Pulmonary Causes ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... stomach bubble should ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
about 200-300 ml ... visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... indicated, start CPR ... tamponade recurs ... generally toward left shoulder
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... bilateral in 70% of cases ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... along with rt/lt pleural ... About 950 ml removed ... consider serious causes ... PLAX #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... along with rt/lt pleural ... About 950 ml removed ... consider serious causes ... A4C #clinical #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... interventional radiology ... fluids (200–300 mL ... renal failure, pulmonary ... opacities, SOB, pleural