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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... a patient with signs ... of CHF. ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... of CHF. ... If pleural effusion ... seen on a supine chest ... #CXR #CHF #Pleural
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Pericarditis) -> Chest ... pain, pleural effusion ... on CXR • RA inflammation ... tends to cause ... pathophysiology #signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR ... diagnosis #management #cardiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... base against the pleural ... confirmed with chest ... #photo #CXR #EmergencyMedicine ... #Cardiology #HamptonHump
PA view
On the PA chest-film it is important to examine all the areas where the lung
view On the PA chest-film ... the silhouette sign ... lymphadenopathy, pleural ... Clinical #Anatomy #Radiology ... #CXR #Normal #Labeled
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... consider serious causes ... PLAX #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... consider serious causes ... A4C #clinical #cardiology
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Patient had CXR ... Note a large pleural ... effusion with highly ... This case again ... the utility of POCUS