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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
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
disease or CHF) ... Abnormal physical findings ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... bronchoscopy to complete
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... Syndrome (ARDS) ... #POCUS #ultrasound ... #findings
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... non-perfused vessels and causes ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... This causes a density ... It is a normal finding ... #Clinical #Radiology ... #CXR #Lateral #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... in interstitial lung ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR
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
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
over areas of stress ... pain, pleural effusion ... on CXR • RA inflammation ... tends to cause ... disease/pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... Syndrome – ARDS ... : Clinical Cheat ... leading to increased pulmonary ... detected on CT or CXR
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
Therefore, conditions caused ... • ↑ Mechanical stress ... apices caused by ... a rigid chest cage ... Increased mechanical stress