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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... - Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... #Causes #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... disease and causes ... can be seen on a chest-film ... a patient with CHF ... #Diagnosis #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... the determined cause ... algorithm #management #cardiology ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... disease b) CHF ... days before Pulmonary ... stratification #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... Electrocardiogram #clinical #cardiology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... cardiac output causes ... Tolerance #testing #diagnosis ... #criticalcare #comparison
CABG Graft Pseudoaneurysm

Chest pain post CABG - always worth taking a look!  Large graft pseudoaneurysm!!
and emphysema, ask ... subcostal as in this case ... the diagnosis, ... anticoags - VCU Ultrasound ... Pseudoaneurysm #clinical #pocus
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... This post will focus ... trauma are diagnosed ... Most commonly caused ... #Radiology #CTChest