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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... • Vasculature: PE ... • Alveoli: - CHF ... Pneumonia • Pleura ... #Causes #Cardiology
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
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Response - Elevated Neck ... #HFrEF #LowEF #PhysicalExam ... Likelihood #LRs #diagnosis ... #cardiology #CHF
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Pulmonary #CXR
Pleural opacities
The table lists the most common causes of pleural opacities #Diagnosis #Radiology #Pulmonary #CXR #Pleural
Pleural opacities ... the most common causes ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... - Chest Wall/Pleura ... Pneumothorax • Pleural ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
base against the pleural ... may aid in the diagnosis ... In this case, pulmonary ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
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
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... - Differential Diagnosis ... Pulmonary/Chest ... decompensated CHF ... Valvular disease Head/Neck
Kussmaul's Sign on Physical Exam

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

-
What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology ... #neck #jugular
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