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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 ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Pericardial • Effusion ... Acute Coronary Syndrome ... Abnormalities • Pleural Effusions ... Chest Wall Abnormalities ... Interstitium • ILD • CHF
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... practice many chest ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... Hypoventilation Syndrome ... Abnormalities • Chest ... Diagnosis #Algorithm #Causes
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... be seen on many chest ... #Clinical #Radiology ... #CXR #Lateral #
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS) ... #POCUS #ultrasound
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
breath or pleuritic chest ... Thickening #COVID19 #clinical ... #lung #ultrasound ... #pulmonary #BLines ... #POCUS #Effusion
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
over areas of stress ... Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... tends to cause ... disease/pulmonary
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Acute Respiratory Distress ... Syndrome ... • Chronic Lung Infection ... #HeartFailure #Cardiology