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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic ... dissection - SCAD • Pericardium ... • Vasculature: PE ... • Alveoli: - CHF ... #Cardiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Overriding aorta ... boot shaped heart caused ... #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... since the heart or pericardial ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Pericardial Hemangioma on Echocardiogram (PLAX)
DDx on this para-aortic pericardial mass? 
Radiologist on CT: “No enchancement on
Echocardiogram (PLAX ... DDx on this para-aortic ... PET/CT = on avid ... lesions CMR = ... pocus #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... → no signs of CXR ... of obstructive epicardial ... Consider cardiac ... diagnosis #management #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Echocardiogram - PLAX ... BUN/Cr- 128/9.4. ... #Effusion #Cardiac ... Echocardiogram #PLAX ... #clinical #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
output because of cardiac ... pulmonary disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
On a chest film only the outer contours of the heart are seen.
In many cases we
On a chest film ... Enlargement will cause ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle ... #Cardiac #Chambers
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... risk (>5%): - Aortic ... - Cataract Plan ... one post op Cardiology ... change CV risk Chest
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