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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... • Vasculature: PE ... • Pleura: - Effusion ... #Differential #Diagnosis ... #Causes #Cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... could pinpoint the cause ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... space >3 mm on PA ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
posterolateral, peak ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... confirmed with chest ... CT angiography. ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
large pleural effusion ... Hyperechoic bright spots ... This case again ... Diagnosis made at ... 5 minutes and CT
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... patient received a diagnosis ... bacterial infection caused ... NEJM #clinical #radiology ... #CT #disseminated
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This post will focus ... Due to their short ... #Radiology #CTChest