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Acute Chest Pain: a basic differential diagnosis to consider, and key points

#Chestpain; #STEMI; #NSTEMI; 

Image Source:
Acute Chest Pain ... : a basic differential ... #Chestpain; #STEMI ... ; #NSTEMI; Image ... : A case based clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... women • DDx: Acute ... deWinter T waves - starts ... electrocardiogram #cardiology ... Interpretation #differential
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... accompanied by chest ... deviation) • Acute ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... In the proper clinical ... This was an acute ... #Clinical #Radiology ... Lobar #Pneumonia #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... practice many chest ... in a supine or semi-erect ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
to the ER with chest ... classic pattern of Acute ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... Carcinomatosis #Mimic #Differential ... Comparison #Table #RadiologyAssistant