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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... embolism • Cardiac ... ultrasound • CXR ... MatthewHoMD #Chest
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... of Chest Pain: ... Pericarditis - Tamponade ... Pulmonary Causes ... #Cardiology
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... Echocardiogram #A4c ... #clinical #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... to one or more pulmonary ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical ... #radiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... be seen on many chest ... #Clinical #Radiology ... #CXR #Lateral #