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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... dissection • Pneumothorax ... • Pulmonary embolism ... • CXR • CBC ... PE • CTA/VQ scan
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... dissection - SCAD ... - Tamponade Pulmonary ... - Effusion - Pneumothorax ... #Causes #Cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Can you see hemidiaphragms ... Check apices for pneumothorax ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... (POCUS) to CT or ... MRI. ... #Diagnosis #Radiology ... ChestXRay #KUB #CXR
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... edema), Lung Exam, POCUS ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
rib fracture - Pneumothorax ... Persistent large pneumothorax ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
When a pneumothorax ... air-fluid level can ... only key to the diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical