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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... • Alveoli: - CHF ... • Pleura: - Effusion ... Pain #ChestPain #Differential ... #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
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... 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
non-perfused vessels and causes ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... bronchial obstruction caused ... #Clinical #Radiology ... #CXR #CTChest #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... 's female with chest ... Differential/diagnosis ... seen in 34% of cases ... #clinical #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... that’s called “clinical ... PhysicalExam #JVP #Cardiology