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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Overriding aorta ... boot shaped heart caused ... along with concave Pulmonary ... #XRay #CXR #clinical ... #radiology #peds
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... disease (e.g., aortic ... regurgitation • Severe aortic ... Pheochromocytoma • Pulmonary ... Flag Symptoms: • Chest
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... risk (>5%): - Aortic ... Severe Aortic stenosis ... change CV risk Chest
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
of CHF. ... PA image as a meniscus ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... x-ray (CXR), try ... not seen on a CXR ... Most commonly caused ... #Radiology #CTChest