13 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic ... dissection - SCAD • Pericardium ... Pericarditis - Tamponade ... • Vasculature: PE ... #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... pain - PE will ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... infarction • Aortic ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... ultrasound • CXR
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 #
Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens
Aortic Dissection ... presented with chest ... of associated pericardial ... effusion/tamponade ... #clinical #cardiology
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