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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
of Chest Pain: ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... - Effusion - Pneumothorax
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... Clinical #Radiology #CXR ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... Clinical #Radiology #CXR ... Redistribution #RadiologyAssistant
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... left chest. ... focusing on lower chest ... Diagnosis? ... ultrasound #Pulmonary
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
- Differential Diagnosis ... disease or CHF) ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... #Algorithm #causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... • Pulmonary embolism ... ultrasound • CXR ... MatthewHoMD #Chest
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings Pneumothorax ... pleura in severe cases ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Embolism, Pneumothorax ... Exam, POCUS (B-lines ... , lung sliding) ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... CHD, congenital ... hypertension; CXR ... , chest X-ray; HPAH ... ; CLD, chronic lung
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #pulmonary