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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Alveoli: - CHF ... Pneumonia • Pleura ... : - Effusion ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... confirmed with chest ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural plaques
The CXR shows multiple opacities.
They have irregular shapes and do not look like a lung
not look like a lung ... masses or consolidations ... bordering the chest ... #Clinical #Radiology ... #CXR #Pleural #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... edema, bilateral pleural ... effusions). 1/5 ... → no signs of CXR ... diagnosis #management #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
interstitium and the pleural ... pulmonary disease and causes ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Tamponade on POCUS Echocardiogram ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... consider serious causes ... A4C #clinical #cardiology