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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
• Vasculature: PE ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... • Pleura: - Effusion ... #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
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
The PA-film shows ... a silhouette sign ... to a pneumonia caused ... #Clinical #Radiology ... #CXR #Pneumonia
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 ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Kerley B lines, alveolar ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #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
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Stage III - Alveolar ... space (pleural effusion ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... BUN/Cr- 128/9.4. ... K 5.9 without EKG ... Echocardiogram #A4C #clinical ... #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... BUN/Cr- 128/9.4. ... K 5.9 without EKG ... Echocardiogram #PLAX #clinical ... #cardiology