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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... 's female with chest ... Triage EKG (no prior ... RV, McConnell's sign ... A4c #clinical #cardiology
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
• Evaluate for signs ... for pericardial effusion ... • Evaluate for causes ... Echocardiography #diagnosis #cardiology ... #echocardiogram
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 ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
Hilum Overlay Sign ... on Chest X-Ray ... contact with the pulmonary ... hilum: In this case ... #radiology #CXR
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 ... bronchiectasis, CF ... ILD, necrotizing pna ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... Number of Cannon A per ... to diagnose the case ... Hussain Ch @Hussainch ... PhysicalExam #JVP #Cardiology