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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Vasculature: PE ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
from 50-110 beats per ... • Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #clinical
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
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
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
The PA-film shows ... anteriorly in the left lung ... to a pneumonia caused ... #Clinical #Radiology ... #CXR #Pneumonia
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
of CHF. ... be visible on a PA ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
) pericarditic chest ... depression on ECG ... 4) pericardial effusion ... CMR). ... #cardiology #chronic
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
Massive Fibrosis on Chest ... chronic interstitial lung ... Massive #Fibrosis #Chest ... #XRay #CXR #silicosis ... #clinical #radiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram