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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... • Pulmonary embolism ... • Cardiac tamponade ... • CXR • CBC ... MatthewHoMD #Chest
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... level in hydro-pneumothorax ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... develops after birth Chest ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical ... #radiology #peds
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... assume that the pneumothorax ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
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
Double Lung Point seen in a Small Pneumothorax on Lung POCUS

Young male with stab wound to
seen in a Small Pneumothorax ... stab wound to chest ... Upright CXR normal ... #Lung #POCUS #clinical ... #ultrasound #Pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... between these chest ... Pulmonary hemorrhage ... in fact this is nodular ... #Radiology #CXR
Left-Middle-Lobe Pneumonia - Radiography of the chest revealed a cardiac apex, aortic arch, and gastric bubble
Radiography of the chest ... revealed a cardiac ... #Clinical #Radiology ... #CXR #Kartagener ... SitusInversus #NEJM