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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... Costochondritis - Tietze syndrome ... • Alveoli: - CHF ... #Cardiology
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Causes of Hemoptysis ... Malformation Normal CXR ... Abnormalities • CHF ... Goodpasture's Syndrome ... Diagnosis #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... (CHF, cirrhosis ... , nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Acute Coronary Syndrome ... Chest Wall Abnormalities ... Interstitium • ILD • CHF ... Diagnosis #Algorithm #Causes
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
infarction Takotsubo (stress ... cardiomyopathy (Yamaguchi syndrome ... wave inversion syndrome ... Differential #Diagnosis #Causes ... #Cardiology #ECG
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... non-perfused vessels and causes ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... • Labs: CBC, cr ... , anti-CCP • CXR ... high resolution chest ... , biopsy By Tess
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Algorithm Cardiac Causes ... Acute Respiratory Distress ... Syndrome ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treat underlying cause ... Treatment #management #cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology