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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Vascular: - Aortic ... Pericarditis - Tamponade ... Pulmonary Causes ... • Pleura: - Effusion ... #Causes #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Obstruction • Aortic ... Non-lschemic • Aortic ... • Pleural Effusion ... ChestPain #Noncardiac #Cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
dysfunction Tamponade ... , pulmonary HTN, ... systemic HTN, aortic ... #Differential #Diagnosis ... #Cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
IATROGENIC DISEASE ... infarction • Aortic ... patients with pulmonary ... OTHER RARE CAUSES ... #cardiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... Nodule / mass • Masses ... Pneumomediastinum, Pericardial effusion ... #pulmonary #radiology
ASE - Multimodality Imaging of Pericardial Disease
 - Acute / Recurrent Pericarditis
 - Pericardial Anatomy and
- Pericardial Effusion ... / Tamponade - ... - Pericardial Masses ... #diagnosis #imaging ... #cardiology #radiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Obstructive arterial disease ... 10mmHg: • Cardiac tamponade ... Abnormalities #Disorders #Cardiology ... #Algorithm #causes
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
complex • Nodular/Masses ... • Pleural effusion ... Parapneumonic effusion ... #diagnosis #chestCT ... #radiology
Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens
Aortic Dissection ... - PSAX view Patient ... associated pericardial effusion ... /tamponade. ... #clinical #cardiology
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Rheumatic Heart Disease ... Pulmonary Stenosis ... Systolic #Murmurs #Cardiology ... #Algorithm #causes