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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... • Vasculature: PE ... • Alveoli: - CHF ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... non-perfused vessels and causes ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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and other rarer causes ... of right-sided HF ... Kussmauls #Sign #physicalexam ... clinical #video #jvp ... #cardiology #neck
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
blue marks on her chest ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #Neck ... Pericarditis #Cardiology
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... the skin (middle chest ... the underlying cause ... #JVP #PhysicalExam ... Clinical #Video #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 ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... have elevated JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... is interstitial lung ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR