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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 ... #Causes #Cardiology
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... leak after chest ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
lung disease or CHF ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... #Algorithm #causes
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 ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CTAir surrounding ... #Monod #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
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 #CHF #Cephalization
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... • CXR • CBC ... MatthewHoMD #Chest
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
in the diagnosis ... In this case, pulmonary ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine