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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... • Vasculature: PE ... • Alveoli: - CHF ... Pneumonia • Pleura ... #Causes #Cardiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
- Differential Diagnosis ... Algorithm Red ... disease or CHF) ... ) • Abnormal CXR ... #Algorithm #causes
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... so, on an erect PA ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Wall/Pleura ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis ... #Algorithm #causes
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... base against the pleural ... may aid in the diagnosis ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Vascular (PE ... • Interstitial lung ... Neuromascular Weakness • Pleural ... #Algorithm #Causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Initial workup: • EKG ... ultrasound • CXR ... Well score for PE
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
and Differential Diagnosis ... Vasodilation Lung ... #HeartFailure #CHF ... #Differential #Diagnosis ... #cardiology #causes
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #