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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Pleura: - Effusion ... Pneumothorax Other Causes ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... • Pleural Effusion ... ChestPain #Noncardiac #Cardiology
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
and left pleural effusion ... subcostal 4-chamber POCUS ... #s4c #POCUS #echocardiogram ... #POCUS #clinical ... #ultrasound #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Many underlying causes ... tissue d/o, blunt chest ... Echocardiogram #Ultrasound #Clinical ... #Cardiology #MitralValve
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
- Loculated effusion ... - Pleural effusion ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... teaching case: ... drain on POCUS ... infected pleural effusion ... #clinical #video
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... to pericardial effusion ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR
Aortic Dissection Sagittal View POCUS

Take a look at the appearance of a pericardial effusion, as well
Sagittal View POCUS ... a pericardial effusion ... With chest and belly ... The radiology resident ... @jaffa_md #Clinical
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical