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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
dissection - SCAD • Pericardium ... - Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... • Pleura: - Effusion
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
(A4C) demonstrating ... ECG alternans motion ... #malignant #clinical ... #cardiology #pocus ... #a4c #electrical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... effusion. ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... (S4C) demonstrating ... ECG alternans motion ... #malignant #clinical ... #cardiology #pocus
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
another patient with alveolar ... distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... K 5.9 without EKG ... Echocardiogram #A4C ... #clinical #cardiology
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
redistribution of the pulmonary ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... ValveReplacement #Pericardial ... #Effusion #PericardialEffusion
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Kerley B lines, alveolar ... bilateral pleural effusions ... → no signs of CXR ... of obstructive epicardial
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Cardiac #POCUS #clinical ... #A4C