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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... • Alveoli: - CHF ... Pneumonia • Pleura ... Pain #ChestPain #Differential ... Diagnosis #Causes #Cardiology
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
scarring with pleural ... MTB infection • Pleural ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... way to detect pleural ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... edema, bilateral pleural ... → no signs of CXR ... Jcortesizaguirr #HFrEF #heartfailure ... diagnosis #management #cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... in the proper clinical ... lesions abutting the pleura ... #Clinical #Radiology ... #CXR #CTChest #
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
edema Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... inhalational injury Differential ... #Radiology #differential ... diagnosis #pulmonary #CXR ... #clinical #CT
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... practice many chest ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... #Clinical #Radiology ... #CXR #CTChest #
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural