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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 ... • Alveoli: - CHF ... • Pleura: - Effusion ... #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
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
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
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
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
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... which rules out CV fusion ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
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