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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Pericardium: - Pericarditis ... - Tamponade Pulmonary ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... , DIC, TMA • Cardiac ... : pericarditis, ... hepatitis • Pulmonary ... : pleural effusion
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... shock, Arrythmias, Pericarditis ... agent, steroids, AC ... diagnosis #management #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... edema and some pleural ... supine film the cardiac ... magnification and high position ... #Clinical #Radiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... left decubitus position ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... edema, bilateral pleural ... effusions). 1/5 ... Consider cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... along with rt/lt pleural ... #Cardiac #Tamponade ... Echocardiogram #A4C ... #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... with presence of pulmonary ... Cardiac cath if ... algorithm #management #cardiology ... #heartfailure #chf