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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... - Tamponade Pulmonary ... • Vasculature: PE ... • Pleura: - Effusion ... #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 ... In this case, pulmonary ... confirmed with chest CT ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... -It’s a diagnosis ... There are case reports ... of pleural effusion ... #Radiology #Honc
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... to be in ADHF starts ... with presence of pulmonary ... the determined cause ... algorithm #management #cardiology
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
do we estimate Pulmonary ... PA dilation, short ... TR jet in cases ... #3D #clinical #cardiology ... #pocus
Summary of Oncologic Emergencies

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