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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 ... : • EKG • Bedside ... ultrasound • CXR ... MatthewHoMD #Chest
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
Progression - normal chest ... lead ECG shows ... increase in the relative ... toward the left chest ... #Diagnosis #Cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome on ECG ... episode of severe chest ... while walking to work ... A 12-lead ECG is ... #Clinical #Cardiology
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
Massive Fibrosis on Chest ... a construction worker ... pneumoconiosis which is caused ... #XRay #CXR #silicosis ... #clinical #radiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
ECG characteristics ... pronounced in the chest ... In case of chest ... #Diagnosis #Cardiology ... #EKG #ECG #Early
Calcifications Around the Heart on Chest XRay
Case #1: This appearance is typical of pericardial calcification &
Around the Heart on Chest ... XRay Case #1: This ... Calcifications #Heart #Chest ... #XRay #CXR #radiology ... #cardiology #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 ... develops after birth Chest ... boot shaped heart caused ... #XRay #CXR #clinical ... #radiology #peds
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... On a CXR the most ... detected on a chest ... seen and in many cases ... #Diagnosis #Radiology
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation