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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Pericarditis - Tamponade ... Pulmonary Causes ... #Pain #ChestPain ... #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... EKG • Bedside ultrasound ... • CXR • CBC
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
boot shaped heart caused ... the upturned cardiac ... #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... SatyaPatelMD #ChestPain ... diagnosis #Algorithm #cardiology
Post Cardiac Catheterization Complications
Access site complications
 • Hematoma - Pain, swelling, bruising
 • Retroperitoneal bleed -
bleed - Lower abdominal ... presyncope • MI - Chest ... tamponade - Chest ... nephropathy - Rise in Cr ... Complications #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... Beside ultrasound ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) — Abdomen and
Examinations ABDOMINAL ... 6 mSv 2 years CHEST ... mSv 4 years - Cardiac ... #PatientInfo #Radiology ... Imaging #ChestXRay #CXR
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... radiation dose Ultrasound ... of flank or abdominal ... for non-calculus causes ... stones #calculus #Radiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... Chest x-ray: signs ... → no signs of CXR ... Consider cardiac ... diagnosis #management #cardiology