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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
of Chest Pain: ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... • Pleura: - Effusion
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Pericardial • Effusion ... Chest Wall Abnormalities ... Interstitium • ILD • CHF ... #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Embolism (chest ... Hypertension - Chest ... • Pleural Effusion
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... /Chest Wall: • ... flare, Pleural effusion ... Tumor, Pleural effusion ... decompensated CHF
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... pain, near-syncope ... Decompensated HF ... Noncardiac: • Pulmonary ... #Management #Algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... non-perfused vessels and causes ... redistribution applies to chest ... practice many chest ... #Clinical #Radiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... PA image as a meniscus ... seen on a supine chest ... #Clinical #Radiology
Pericardial Lymphoma on POCUS Echocardiogram

“Anaconda inside pericardial cavity” - Pericardial effusion with mass inside in a
mass inside in a case ... pediatric lymphoma. 8 year ... with dyspnea and chest ... Echocardiogram #clinical ... #cardiology
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 ... event, follow ACC algorithm ... Change in clinical ... change CV risk Chest
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... the determined cause ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf