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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... • Vasculature: PE ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Causes #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... so, on an erect PA ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... may aid in the diagnosis ... confirmed with chest CT ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... Nuclear SPECT ($$$), PET ... CT/MRI ($$$$) ... Stress #Testing #cardiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... bilateral pleural effusions ... → no signs of CXR ... Consider cardiac ... #management #cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... be visible on a PA ... #Clinical #Radiology ... #CXR #CHF #Pleural
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... on Chest CT • Parallel ... bronchiectasis, CF ... ILD, necrotizing pna ... #diagnosis #radiology
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
patient experiencing cardiac ... arrest with ongoing CPR ... currently experiencing signs ... Classification #ABCDEs #diagnosis ... #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Number of Cannon A per ... are enough to diagnose ... the case as Typical ... Hussain Ch @Hussainch ... PhysicalExam #JVP #Cardiology