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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 ... Alveoli: - CHF - Pneumonia ... #Cardiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... leukocytosis, left-shift ... production, pleuritic chest ... #Pneumonia #Venn
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... include the list of causes ... caused by Streptcoccus ... #Clinical #Radiology ... #CXR #AirBronchogram
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 ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest ... Hypertension - Chest ... Parenchymal • Pneumonia ... ChestPain #Noncardiac #Cardiology
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... hemorrhage • Pus: pneumonia ... e.g., GBS, MG, ALS ... ) • ↓ chest wall ... compliance (e.g., flail chest
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 ... boot shaped heart caused ... Tetralogy #Falot #Chest ... #radiology #peds
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... Lobar pneumonia ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation