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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Cardiovascular Causes of Chest ... Pain: • Chest ... • Pleura: - Effusion ... Other Causes of Chest
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... neuromuscular disease, ↓ chest ... (↑Shunting), ↓Perfusion ... Dead space) • ↓Diffusion ... Hypoxemia #Hypoxia #Differential
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Algorithm Ventilation/perfusion ... Parenchymal Disease Diffusion ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... to pericardial effusion ... Pericardial effusion ... Radiology #CXR #CTChest ... #Pericardial #Effusion
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... for Chest Pain ... Integrating POCUS ... in crashing chest ... narrowing the differential
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... • Pleura: - Effusion ... of Dyspnea: • Chest ... Obesity - Flail chest ... #dyspnea #sob #differential
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Pulmonary Embolism (chest ... Hypertension - Chest ... • Pleural Effusion ... Noncardiac #Cardiology #Differential
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... are broken in 2 areas ... paradoxical motion of a chest ... FedeRebustello #Flail #Chest
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Necessitans (EN) on Chest ... coughed and now his chest ... infected pleural effusion ... erodes into the chest ... fluid into the chest
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Pericardial • Effusion ... Abnormalities • Pleural Effusions ... Thickening/Masses Chest ... #Dyspnea #SOB #Differential