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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
of Chest Pain: ... - Tamponade Pulmonary ... Causes of Chest ... - Effusion - Pneumothorax ... #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... • Pulmonary embolism ... ultrasound • CXR ... MatthewHoMD #Chest
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest ... Hypertension - Chest ... Pleura • Pneumothorax ... ChestPain #Noncardiac #Cardiology
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #diagnosis #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
edema • Air: pneumothorax ... atelectasis • Lung ... e.g., GBS, MG, ALS ... ) • ↓ chest wall ... compliance (e.g., flail chest
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Embolism, Pneumothorax ... Exam, POCUS (B-lines ... , lung sliding) ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Double Lung Point seen in a Small Pneumothorax on Lung POCUS

Young male with stab wound to
on Lung POCUS ... stab wound to chest ... Upright CXR normal ... #Lung #POCUS #clinical ... #ultrasound #Pulmonary
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... non-perfused vessels and causes ... redistribution applies to chest ... practice many chest ... #CXR #CHF #Cephalization
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Esophageal Injury Lung ... : • Pulmonary ... Contusion • Pneumothorax ... #Causes