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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... dissection • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound ... • CXR • CBC
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... level in hydro-pneumothorax ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
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
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Lung Point in Pneumothorax

Lung ultrasound of a patient with SOB and chest pain after central line
Lung Point in Pneumothorax ... Lung ultrasound ... patient with SOB and chest ... #POCUS #Clinical ... #Pulmonary
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... to one or more pulmonary ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical ... #radiology
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
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR