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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Alveoli: - CHF ... - Pneumonia ... • Pleura: - Effusion ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Infarction • Stable ... Wall/Pleura ... Effusion ... Parenchymal • Pneumonia ... ChestPain #Noncardiac #Cardiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... AirBronchogram #RUL
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
teaching case: ... was admitted for pneumonia ... effusion where ... #clinical #video ... #Lung
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Stage I - Redistribution ... non-perfused vessels and causes ... In daily clinical ... during a period of CHF ... #Clinical #Radiology
CT and ultrasonographic features of COVID-19 pneumonia
Lung CT:
 - Thickened pleura
 - Ground glass shadow and
features of COVID-19 pneumonia ... effusion is rare ... fibrosis #COVID19 #pneumonia ... ChestCT #Ultrasound #POCUS ... #features #Radiology
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

-
with Tamponade on POCUS ... In an unstable ... pt w/ chest trauma ... #cardiology #clinical ... #s4c #trauma
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - A4C ... along with rt/lt pleural ... Echocardiogram #A4C ... #clinical #cardiology