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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Pericarditis - Tamponade ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology ... #algorithm
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... K 5.9 without EKG ... along with rt/lt pleural ... #clinical #cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... of CHF. ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... • Pericardial Tamponade ... Acute Respiratory Distress ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... K 5.9 without EKG ... along with rt/lt pleural ... consider serious causes ... PLAX #clinical #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf