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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Differential #Diagnosis ... #Causes #Cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... #heartfailure #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... importantly, bedside ultrasound ... the determined cause ... algorithm #management #cardiology ... #heartfailure #chf
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... pulmonary disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Patient had CXR ... large pleural effusion ... This case again ... Diagnosis made at ... #Lung #Ultrasound
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... Treat underlying cause ... interventional radiology ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis