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Chest Pain Differential Diagnosis by Organ System

- By Dr. Eric Strong @DrEricStrong 

#ChestPain #Differential #Diagnosis #Table
Chest Pain Differential ... DrEricStrong #ChestPain ... #Differential # ... Diagnosis #Table ... #OrganSystem #Causes
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Life Threatening Causes ... of Chest Pain - ... Differential Diagnosis ... MatthewHoMD #ChestPain ... #Chest #Pain #differential
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... #Differential #
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Cardiovascular Causes ... #Pain #ChestPain ... #Differential # ... #Cardiology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Ring-Enhancing Lesions ... Compatible syndrome + MRI ... #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... dizziness, syncope, chest ... tissue (previous MI ... - High Output State ... #Arrhythmias #Cardiology
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
Underlying causes ... Toxins, Tamponade, Tension ... acute, massive MI ... #arrest #HsTs #Differential ... #Diagnosis #Table
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
Case description ... • MRI: Posterolateral ... hallucis longus Differential ... torn ligament on MRI ... osteochondral lesion
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
) - MSK Radiology ... : • FOPE lesions ... repeated follow-up MRI ... (save $$) Differential ... #clinical #mri
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver Lesions ... Resonance Imaging (MRI ... #Contrast #CT #MRI ... #POCUS #radiology ... #differential #