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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Alveoli: - CHF ... Pneumothorax Other Causes ... #Cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Cardiovascular Causes ... / Mediastinal Causes ... Sarcoidosis Other Causes ... ChestPain #Noncardiac #Cardiology ... Diagnosis #Algorithm #causes
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Medications Used in Congestive Heart Failure

In CHF, the heart is failing as a pump; cardiac output
Heart Failure In CHF ... CHF also causes ... therapy in chronic CHF ... #Pharmacology #CHF ... #HeartFailure #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
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
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Nodule / mass • Masses ... Pneumomediastinum, Pericardial effusion ... • CXR rotation ... Diagnosis #pulmonary #radiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... include the list of causes ... lobar pneumonia caused ... #Clinical #Radiology ... #CXR #AirBronchogram