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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... tamponade • Esophageal ... Initial workup: • EKG ... ultrasound • CXR ... MatthewHoMD #Chest
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... Feeding #Vessel #Sign ... #diagnosis #radiology ... #clinical
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... on the coronal CT-reconstruction ... #Clinical #Radiology ... #CXR #CTChest #
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... ., CXR, CT, ultrasound ... - Pulmonary symptoms ... production, pleuritic chest ... pain) and signs
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
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 #
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
This Patient With Chest ... : The Rational Clinical ... #Cardiology #ACS ... #Signs #LikelihoodRatios ... Atypical #ChestPain #Cardiac
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... on Chest X-Ray Anterior ... thus important to diagnose ... #Chest #XRay #CXR ... #clinical #radiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... #Triad #Diagnosis ... #Cardiology