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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... dissection • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound ... • CXR • CBC
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... - Tamponade Pulmonary ... Causes of Chest ... - Effusion - Pneumothorax ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest ... Hypertension - Chest ... Pleura • Pneumothorax ... ChestPain #Noncardiac #Cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Check apices for pneumothorax ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
rib fracture - Pneumothorax ... , pulmonary contusion ... Persistent large pneumothorax ... abdominal viscus #cxr ... diagnosis #signs #radiology
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... level in hydro-pneumothorax ... #TB #Patterns #chest ... xray #clinical #radiology ... #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... assume that the pneumothorax ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... boot shaped heart caused ... along with concave Pulmonary ... #XRay #CXR #clinical ... #radiology #peds
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... On a CXR the most ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR