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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 ... #Pain #ChestPain ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... • Pleural Effusion ... • Herpes Simplex ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
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
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
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
• ↑ Mechanical stress ... apices caused by ... a rigid chest cage ... Increased mechanical stress ... #STARCHASERS #radiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... edema - Large effusion ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... Lady Windermere Syndrome ... : • Syndrome of ... Avium Complex (MAC ... • Dyspnea, • Chest
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
exudative pleural effusions ... acute respiratory distress ... syndrome) is rare ... Pleuritic chest ... reticular opacities on chest
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... acute coronary syndrome ... the determined cause ... #heartfailure #chf