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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... - Tamponade Pulmonary ... • Vasculature: PE ... • Alveoli: - CHF ... #Cardiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
In this case, pulmonary ... confirmed with chest CT ... #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
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
with asthma or CF ... bronchial obstruction caused ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest #
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
fibrotic lung disease caused ... Calcification (seen in CT ... Silicosis #clinical #radiology ... #CXR #Chest #XRay ... #labeled #pulmonary
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
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Sign on Chest CT ... bronchiectasis, CF ... ILD, necrotizing pna ... #Lung #Pulmonary ... #diagnosis #radiology
Pericardial Hemangioma on Echocardiogram (PLAX)
DDx on this para-aortic pericardial mass? 
Radiologist on CT: “No enchancement on
Hemangioma on Echocardiogram ... PET/CT = on avid ... lesions CMR = ... Pericardial #Hemangioma #Echocardiogram ... pocus #clinical #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
with a normal echocardiogram ... confirm high-output HF ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Number of Cannon A per ... to diagnose the case ... Hussain Ch @Hussainch ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology