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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... #Causes #Cardiology
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
Pleural fluid It ... visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR ... #heartfailure #diagnosis
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... #clinical #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... interstitium and the pleural ... a patient with CHF ... #Diagnosis #Radiology ... #CHF #CXR #Features
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... have made the diagnosis ... There is pleural ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
interventional radiology ... renal failure, pulmonary ... opacities, SOB, pleural ... effusions - Treatment ... Oncology #HemeOnc #Diagnosis